Healthcare Provider Details

I. General information

NPI: 1245347103
Provider Name (Legal Business Name): PATRICIA L ARMELL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 W MAPLE ST
FARMINGTON NM
87401-5630
US

IV. Provider business mailing address

138 ROAD 2390
AZTEC NM
87410-9322
US

V. Phone/Fax

Practice location:
  • Phone: 505-599-6134
  • Fax: 505-599-6290
Mailing address:
  • Phone: 505-599-6134
  • Fax: 505-599-6290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number89-146
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: