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NPI Code Detail

MEDICARE: ASPEN MEDICAL GROUP LLC

MEDICARE: ASPEN MEDICAL GROUP LLC
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
1207Q00000XFamily Medicine PhysicianMD2006-0506NM
2261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1740533967
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASPEN MEDICAL GROUP LLC
Provider Business Mailing Address
First Line : 3450 ZAFARANO DR
Second Line : STE A
City : SANTA FE
State : NM
Zip : 87507-2669
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3450 ZAFARANO DR
Second Line : STE A
City : SANTA FE
State : NM
Zip : 87507-2669
Country : US
Telephone Number : 505-246-6910
Fax Number :
Authorized Official
Title or Position : CEO
Name : ANDREW M. ROPP
Credential : MD
Telephone Number : 505-246-6910
Provider Enumeration Date : 10/25/2012
Last Update Date : 12/03/2020

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Directions to “ASPEN MEDICAL GROUP LLC ” Practice Location

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