ACTIVE MEDICAL GROUP LLC

FARMINGTON, NM
NPI1992408520
Entity TypeOrganization
Authorized ContactASHLEY JORDAN SMITH
Nurse Practitioner
505-336-7344
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2023-03-23
Last Update Date2025-01-16
Business Address
ACTIVE MEDICAL GROUP LLC
4801 N BUTLER AVE STE 8102
FARMINGTON, NM 87401-0818
Phone number: 505-370-1201
Mailing Address
ACTIVE MEDICAL GROUP LLC
4801 N BUTLER AVE STE 8102
FARMINGTON, NM 87401-0818
Phone number: 505-370-1201
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