Sandia Mountain Medical, Inc.
NPI #1609885243 in Edgewood, New Mexico
Provider Information
- NPI Number
- 1609885243
- Entity Type
- Organization
- Organization Name
- Sandia Mountain Medical, Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 5, 2006
- Last Updated
- May 20, 2016
Practice Location
- Address
- 1851 OLD US 66
- Address 2
- UNIT 1
- City
- Edgewood
- State
- New Mexico
- ZIP Code
- 87015-6784
- Phone
- (505) 286-2396
Authorized Official
- Name
- VICTORIA GONZALES
- Title
- OFFICE MANAGER
- Phone
- (505) 832-4434
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Family Medicine |
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