James D. Mickle, Jr. Md Valid NPI

Organization · Medical Specialty Clinic/Center · Santa Fe, NM

NPI

1477855104

Type

Organization (Type 2)

Primary specialty

Medical Specialty Clinic/Center (Clinic/Center)

Specialty group

Ambulatory Health Care Facilities

Taxonomy code

261QM2500X

License number

MD2008-0397 (NM)

Enumerated

2010-12-01

Last updated

2010-12-01