James D. Mickle, Jr. MD
NPI #1477855104 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1477855104
- Entity Type
- Organization
- Organization Name
- James D. Mickle, Jr. MD
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Dec 1, 2010
- Last Updated
- Dec 1, 2010
Practice Location
- Address
- 4 CALLE MEDICO
- Address 2
- C
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87505-4791
- Phone
- (610) 952-4418
Authorized Official
- Name
- DR. JAMES D. MICKLE JR., MD
- Title
- SOLE PROPRIETOR
- Phone
- (610) 952-4418
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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