NPI 1003464652

Pinon Healthcare, LLC

Organisation Sleep Medicine (Family Medicine) Physician Farmington, NM

Practice location

Address: 904 E 20th St STE B, Farmington, NM 87401-4281
Phone: (505) 787-2680
Fax: (505) 787-2668
Mailing address: PO Box 166, Farmington, NM 87499-0166

Authorised official

Name: Dikilyn Tyson
Title: Owner
Phone: (505) 860-5180

Registered specialties

Sleep Medicine (Family Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207QS1201X

Other Family Medicine providers in New Mexico →

Registry record

NPI: 1003464652
Entity type: Organization
NPI issued: 27 Aug 2019
Record last updated: 27 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.