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Contact Information

FERNANDO J INDACOCHEA, MD
4401 E. LOHMAN AVE.
SUITE A
LAS CRUCES, NM88011
 Phone: 575-532-9077
 Fax: 575-532-9221
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for FERNANDO J INDACOCHEA · (Male)

NPI Number 1720089519
Status Active
Credentials MD
Entity Individual
Enumeration date 08/03/2005
Last updated 09/22/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NM License # MD2012-0871
  • WV Medicaid 0107734000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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