Healthcare Provider Details

I. General information

NPI: 1700498748
Provider Name (Legal Business Name): SANDIA VIEW FAMILY MEDICINE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2020
Last Update Date: 08/20/2020
Certification Date: 08/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 MEADOWLARK LN SE STE 2
RIO RANCHO NM
87124-1050
US

IV. Provider business mailing address

4200 MEADOWLARK LN SE STE 2
RIO RANCHO NM
87124-1050
US

V. Phone/Fax

Practice location:
  • Phone: 505-994-3256
  • Fax:
Mailing address:
  • Phone: 505-994-3256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANNE GILBERT HOEFFLER
Title or Position: PRESIDENT
Credential: FNP
Phone: 505-400-9034