Angel Fire Primary Care

NPI #1922376896 in Angel Fire, New Mexico

Provider Information

NPI Number: 1922376896
Entity Type: Organization
Organization Name: Angel Fire Primary Care
Primary Specialty: General Practice
Enumeration Date: Dec 7, 2011
Last Updated: May 15, 2012

Practice Location

Address: 37 ASPEN
City: Angel Fire
State: New Mexico
ZIP Code: 87710-0000
Phone: (575) 377-1805

Authorized Official

Name: DR. LESA D FRAKER, M.D.
Title: PRESIDENT
Phone: (505) 989-8707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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