Animas Dermatology Md Pc

LBN: Animas Dermatology Md Pc
Animas Dermatology Md Pc is an health care organization with primary practice located at 4801 N Butler Ave Ste 9101 , Farmington NM 87401-3300. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Animas Dermatology Md Pc can be contacted via phone (505) 324-8375, or through Graham, Jean A via phone (505) 324-8375.

Contact Information

Primary practice address
4801 N Butler Ave Ste 9101 Farmington NM 87401-3300
Phone: (505) 324-8375
Fax: (505) 327-4638
Website:
Map and Directions
Authorized official contact:
Name: Graham, Jean A Doctor of Medicine (MD)
Phone: (505) 324-8375

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 97-254 New Mexico

Profile Details

NPI number 1063576148
LBN Legal business name Animas Dermatology Md Pc
DBA Doing business as
Authorized official Graham, Jean A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2006
Last updated Aug 17th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063576148 NPPES
New Mexico Other NM012425 BLUE CROSS BLUE SHIELD NM
New Mexico MEDICAID Q2833 BLUE CROSS BLUE SHIELD NM

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