Roberta L. Fennig Do PC

NPI #1912259441 in Santa Teresa, New Mexico

Provider Information

NPI Number
1912259441
Entity Type
Organization
Organization Name
Roberta L. Fennig Do PC
Primary Specialty
Clinic/Center
Enumeration Date
Oct 8, 2012
Last Updated
Oct 8, 2012

Practice Location

Address
5305 MCNUTT RD
Address 2
SUITE H
ZIP Code
88008-9685
Phone
(575) 589-1770

Authorized Official

Name
DR. ROBERTA LEE FENNIG, DO
Title
PRESIDENT
Phone
(915) 494-1237

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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