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NPI Code Detail

MEDICARE: RODEO FAMILY MEDICINE, P.C.

MEDICARE: RODEO FAMILY MEDICINE, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/Center79-266NM

General Provider Information

NPI Number : 1578558235
Entity Type Code : Organization
Provider Name (Legal Business Name) : RODEO FAMILY MEDICINE, P.C.
Provider Business Mailing Address
First Line : 4001 RODEO RD
Second Line :
City : SANTA FE
State : NM
Zip : 87507-4830
Country : US
Telephone Number : 505-471-8994
Fax Number : 505-473-1250
Provider Business Practice Location Address
First Line : 4001 RODEO RD
Second Line :
City : SANTA FE
State : NM
Zip : 87507-4830
Country : US
Telephone Number : 505-471-8994
Fax Number : 505-473-1250
Authorized Official
Title or Position : OWNER
Name : FEN SARTORIUS
Credential : M.D.
Telephone Number : 505-471-8994
Provider Enumeration Date : 09/19/2005
Last Update Date : 08/22/2020

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1023129012 — DR. FEN SARTORIUS M.D.
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1194837120 — DR. GERZAIN CHAVEZ M.D.
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1902918923 — MS. LINDA ROSS CFNP
Practice Location Address:
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1518084128 — ST. VINCENT HOSPITAL
Practice Location Address:
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Directions to “RODEO FAMILY MEDICINE, P.C. ” Practice Location

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