Individual provider · NPI-1

Dr. Eleanore A Barry-Prather, MD

Internal Medicine · Farmington, NM

NPI number1508978370
StatusActive
Last updated in NPPESAug 17, 2020

Details

NPI
1508978370
Entity type
Individual (NPI-1)
Name
Dr. Eleanore A Barry-Prather
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 31, 2006
Certification date
Aug 17, 2020
Last updated
Aug 17, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine98218NMYes

Practice location

110 E Apache St
Farmington, NM 87401-6902

Phone 505-564-7903

Mailing address

110 E Apache St
Farmington, NM 87401-6902

Phone 505-564-7903

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