Fedko Emergency Physicians New Mexico LLC
NPI #1770047441 in Grants, New Mexico
Provider Information
- NPI Number
- 1770047441
- Entity Type
- Organization
- Organization Name
- Fedko Emergency Physicians New Mexico LLC
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Jan 28, 2019
- Last Updated
- Jan 28, 2019
Practice Location
- Address
- 1016 E ROOSEVELT AVE
- City
- Grants
- State
- New Mexico
- ZIP Code
- 87020-2118
- Phone
- (505) 287-4446
Authorized Official
- Name
- MARTIN FEDKO
- Title
- OWNER
- Phone
- (857) 571-2467
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine |
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