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Contact Information

ANIMAS DERMATOLOGY MD PC
4801 N BUTLER AVE STE 9101
FARMINGTON, NM87401-3300
 Phone: 505-324-8375
 Fax: 505-327-4638
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ANIMAS DERMATOLOGY MD PC · (Female)

NPI # 1063576148
Status Active
Credentials
Entity Individual
Enumeration date 12/21/2006
Last updated 08/17/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • NM License # 97-254
  • NM Medicaid Q2833
  • NM Other NM012425 BLUE CROSS BLUE SHIELD NM
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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