Provider Demographics
NPI:1164675419
Name:CENTER FOR ENDOCRINE HEALTH P.C.
Entity Type:Organization
Organization Name:CENTER FOR ENDOCRINE HEALTH P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:MAUREEN
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:505-227-6956
Mailing Address - Street 1:1751 OLD PECOS TRL STE I
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-4706
Mailing Address - Country:US
Mailing Address - Phone:505-227-6956
Mailing Address - Fax:
Practice Address - Street 1:1751 OLD PECOS TRL STE I
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-4706
Practice Address - Country:US
Practice Address - Phone:505-227-6956
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-30
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2002-0209261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty