John Andazola, M.D.
Family Medicine in Las Cruces, NM. Individual provider (NPI-1).
NPI number1760438196
StatusActive
Last updated in NPPESNov 21, 2024
Details
- NPI
- 1760438196
- Entity type
- Individual (NPI-1)
- Name
- John Andazola
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 26, 2006
- Certification date
- Nov 21, 2024
- Last updated
- Nov 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 99-154 | NM | Yes |
Practice location
575 S Alameda BlvdLas Cruces, NM 88005-2818
Phone 575-528-6400 · Fax 575-521-7199
Mailing address
385 Calle De Alegra Ste ALas Cruces, NM 88005-3423
Phone 575-526-1105 · Fax 575-524-4266
Other practice locations
2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Las Cruces, NM 88011-5069
Phone 575-521-5370 · Fax 575-521-5376
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