Healthcare Provider Details

I. General information

NPI: 1164455663
Provider Name (Legal Business Name): ALISON M SAWYER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 04/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1751 OLD PECOS TRL STE I
SANTA FE NM
87505-4706
US

IV. Provider business mailing address

1751 OLD PECOS TRL STE I
SANTA FE NM
87505-4706
US

V. Phone/Fax

Practice location:
  • Phone: 505-227-6956
  • Fax:
Mailing address:
  • Phone: 505-227-6956
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number2002-0209
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: