Individual provider · NPI-1

Michael Dandy Patz

Internal Medicine, Critical Care Medicine · Farmington, NM

NPI number1972869949
StatusActive
Last updated in NPPESNov 14, 2024

Details

NPI
1972869949
Entity type
Individual (NPI-1)
Name
Michael Dandy Patz
Sex
Male
Sole proprietor
No
Enumeration date
Apr 4, 2012
Certification date
Nov 14, 2024
Last updated
Nov 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0200X Internal Medicine, Critical Care MedicineMD2021-0631NMYes
207L00000X Anesthesiology0057087CO
207L00000X AnesthesiologyS52152425MA
207L00000X AnesthesiologyMD2021-0631NM
207LC0200X Anesthesiology, Critical Care MedicineDR.0057087CO

Practice location

801 W Maple St
Farmington, NM 87401-5630

Phone 505-609-2000 · Fax 505-609-2259

Mailing address

Po Box 844088
Dallas, TX 75284-4088

Phone 505-609-2258 · Fax 505-609-2259

Other practice locations

1010 Three Springs Blvd
Durango, CO 81301-8296

Phone 970-764-3207 · Fax 970-764-3789

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