Aztec Family Practice PA
Aztec Family Practice PA is an Exclusive Provider Organization in Aztec, New Mexico. Licensed in New Mexico. Registered with an NPI since 2007.
- Licensed in
- NM
- In the registry since
- 2007
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
406 S Park AveAztec, NM 87410-2226
Phone: (505) 334-2852
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence A-834-86 (NM) |
|---|
Record details
| NPI number | 1336348135 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Bryan Poe — Owner · (505) 334-2852 |
| NPI enumerated | July 12, 2007 |
| Last updated in NPPES | May 20, 2008 |
| Mailing address | 406 S Park Ave, Aztec, NM 87410-2226 |