Provider Demographics
NPI:1285645093
Name:PRICE, TONI A (DO)
Entity Type:Individual
Prefix:DR
First Name:TONI
Middle Name:A
Last Name:PRICE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:TONI
Other - Middle Name:ARMANDA
Other - Last Name:MURPHY PRICE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO, PHD
Mailing Address - Street 1:PO BOX 638
Mailing Address - Street 2:6349 HIGHWAY 550
Mailing Address - City:CUBA
Mailing Address - State:NM
Mailing Address - Zip Code:87013
Mailing Address - Country:US
Mailing Address - Phone:575-289-3291
Mailing Address - Fax:575-289-3648
Practice Address - Street 1:6349 HIGHWAY 550
Practice Address - Street 2:
Practice Address - City:CUBA
Practice Address - State:NM
Practice Address - Zip Code:87013
Practice Address - Country:US
Practice Address - Phone:575-289-3291
Practice Address - Fax:575-289-3648
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMA-1548-10207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine