National Provider Identifier Database

FOUR CORNERS RADIOLOGY ASSOCIATES PC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

FOUR CORNERS RADIOLOGY ASSOCIATES PC
801 W. MAPLE
FARMINGTON, NM87401
Phone: 505-325-1572
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for FOUR CORNERS RADIOLOGY ASSOCIATES PC

NPI Number 1265475230
Legal business name
LBN
FOUR CORNERS RADIOLOGY ASSOCIATES PC
Authorized official DANYLE CONNER - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 06/14/2006
Last updated 06/22/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • NM Medicaid: 44016

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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