Organization · NPI-2

Anasazi Medical Associates

Family Medicine · Santa Fe, NM

NPI number1700919289
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1700919289
Entity type
Organization (NPI-2)
Legal business name
Anasazi Medical Associates
Organization subpart
No
Enumeration date
Mar 13, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine002-409897-003NMYes

Practice location

2055 S Pacheco St
Suite 600
Santa Fe, NM 87505-3997

Phone 505-473-0390 · Fax 505-473-0375

Mailing address

2055 South Pacheco
Suite 600
Santa Fe, NM 87505-3997

Phone 505-473-0390 · Fax 505-473-0375

Authorized official

Carl Friedrichs
Owner
5054730390

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Santa Fe, NM