Whalio Doctors

NPI 1053407460

Presbyterian Medical Services

Organisation Clinic/Center Farmington, NM

Practice location

Address
1001 W Broadway, Farmington, NM 87401-5638
Phone
(505) 327-4796
Mailing address
1895 Hollyhock Cir, Farmington, NM 87401-4701

Authorised official

Name
Jodi K Padgett
Title
Nurse Practitioner
Phone
(505) 327-4796

Registered specialties

Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence R55878 (NM)

Registry record

NPI
1053407460
Entity type
Organization
NPI issued
4 Oct 2006
Record last updated
22 Aug 2020

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.