Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Animas Dermatology MD PC

Organization Specialist · NPI 1063576148

Animas Dermatology MD PC is a Specialist in Farmington, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.

Licensed in
NM
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4801 N Butler Ave Ste 9101
Farmington, NM 87401-3300
Phone: (505) 324-8375
Fax: (505) 327-4638
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 97-254 (NM)

Record details

NPI number1063576148
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jean Graham — Ceo · (505) 324-8375
NPI enumeratedDecember 21, 2006
Last updated in NPPESAugust 17, 2018
Mailing address1654 County Road 120, Hesperus, CO 81326-9752

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