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NPI Code Detail

MEDICARE: CARLA ANN CURTIS-KLINGER PA

MEDICARE: CARLA ANN CURTIS-KLINGER PA
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
1363A00000XPhysician AssistantPA00874OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12000-PA18OTHERNMNM PA LICENSE

General Provider Information

NPI Number : 1851478515
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLA ANN CURTIS-KLINGER PA
Provider Business Mailing Address
First Line : PO BOX 158
Second Line : ECFH CREDENTIALING DEPT
City : ESPANOLA
State : NM
Zip : 87532-0158
Country : US
Telephone Number : 505-753-7218
Fax Number : 505-753-5815
Provider Business Practice Location Address
First Line : 1235 8TH ST
Second Line :
City : LAS VEGAS
State : NM
Zip : 87701-4219
Country : US
Telephone Number : 505-425-6788
Fax Number : 505-425-5408
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/11/2016

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1841247327 — DR. JOSHUA D LEIDERMAN M.D.
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1699784462 — MS. ROSALIE DELFINA OBREGON LISW
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1225127343 — JOHN SCOTT PA
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1477639474 — DANITA TANNER LMSW
Practice Location Address:
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1932246683 — CHRIS B. RUGE APRN, BC
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Directions to “ CARLA ANN CURTIS-KLINGER PA” Practice Location

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