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Contact Information

ALDEN G COCKBURN MD
1399 WEIMER RD
# 600
TAOS, NM87571-6340
 Phone: 575-751-0334
 Fax: 575-751-0297
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ALDEN G COCKBURN MD

NPI # 1578738381
LBN Legal business name ALDEN G COCKBURN MD
Authorized official JUDY COCKBURN - (PRACTICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2008
Last updated 04/23/2008 - About 18 years ago
Identifiers
NM License # 20040101
NM Medicaid 29805325
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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