NPI 1134193352

Eric M Ketcham, MD

Practitioner Emergency Medicine Physician Farmington, NM

Practice location

Address: 801 W Maple St, Farmington, NM 87401-5630
Phone: (505) 609-2000
Fax: (505) 609-2259
Mailing address: PO Box 26666 Phs Provider Enrollment, Albuquerque, NM 87125-6666

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence MD2004-0044 (NM)

Other Emergency Medicine providers in New Mexico →

Registry record

NPI: 1134193352
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Feb 2006
Record last updated: 11 Sep 2018

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.