Healthcare Provider Details

I. General information

NPI: 1831262781
Provider Name (Legal Business Name): ANITA LEE SLOAN-GARCIA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 03/06/2020
Certification Date: 03/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SUN AVE NE STE 650
ALBUQUERQUE NM
87109-4670
US

IV. Provider business mailing address

100 SUN AVE NE STE 650
ALBUQUERQUE NM
87109-4670
US

V. Phone/Fax

Practice location:
  • Phone: 505-835-6767
  • Fax: 505-545-6727
Mailing address:
  • Phone: 505-835-6767
  • Fax: 866-881-5131

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberMD2004-0179
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: