Healthcare Provider Details

I. General information

NPI: 1013765247
Provider Name (Legal Business Name): DR. EHRLAND A. TRUITT, DOM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2024
Last Update Date: 05/13/2024
Certification Date: 05/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

826 CAMINO DE MONTE REY STE A1
SANTA FE NM
87505-3961
US

IV. Provider business mailing address

826 CAMINO DE MONTE REY STE A1
SANTA FE NM
87505-3961
US

V. Phone/Fax

Practice location:
  • Phone: 505-231-2872
  • Fax:
Mailing address:
  • Phone: 505-231-2872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: EHRLAND TRUITT
Title or Position: PRINCIPAL
Credential:
Phone: 505-231-2872