Provider Demographics
NPI:1023295607
Name:SPINDLER, MARY K (PHD, DOM, LMT)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:K
Last Name:SPINDLER
Suffix:
Gender:F
Credentials:PHD, DOM, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:914 BACA ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-0972
Mailing Address - Country:US
Mailing Address - Phone:505-690-8855
Mailing Address - Fax:505-425-6040
Practice Address - Street 1:914 BACA ST
Practice Address - Street 2:SUITE C
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-0972
Practice Address - Country:US
Practice Address - Phone:505-690-8855
Practice Address - Fax:505-425-6040
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-26
Last Update Date:2008-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM661171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist