Healthcare Provider Details

I. General information

NPI: 1063455186
Provider Name (Legal Business Name): DAVID CRAIG LINDSEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 09/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

465 SAINT MICHAELS DR SUITE 110
SANTA FE NM
87505-7670
US

IV. Provider business mailing address

465 SAINT MICHAELS DR SUITE 110
SANTA FE NM
87505-7670
US

V. Phone/Fax

Practice location:
  • Phone: 505-946-3180
  • Fax: 505-946-3181
Mailing address:
  • Phone: 505-946-3180
  • Fax: 505-946-3181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number98-101
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: