MEDICARE: DR. KAREN ARMITAGE M.D.

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
1	208000000X	Pediatrics Physician	81-8	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760467724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN ARMITAGE M.D.

Provider Business Mailing Address
First Line	:	605 LETRADO ST
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-4146
Country	:	US
Telephone Number	:	505-476-2670
Fax Number	:	505-476-2694

Provider Business Practice Location Address
First Line	:	605 LETRADO ST
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87505-4146
Country	:	US
Telephone Number	:	505-476-2670
Fax Number	:	505-476-2694

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	07/09/2007

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