ADAM NICKLAUS SPRING

TAOS, NM
NPI1023502051
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: NM  MD2024-0018M)
Additional Taxonomies207Q00000X Family Medicine
(Licence: MT  MED-PHYS-LIC-101269)
Enumeration Date2018-06-22
Last Update Date2025-01-27
Business Address
ADAM NICKLAUS SPRING MD
1397 WEIMER RD
TAOS, NM 87571-6253
Phone number: 406-751-5310
Mailing Address
ADAM NICKLAUS SPRING MD
1397 WEIMER RD
TAOS, NM 87571-6253
Phone number: 575-758-8883