Healthcare Provider Details

I. General information

NPI: 1114978251
Provider Name (Legal Business Name): MERI PAIGE GERLING MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2006
Last Update Date: 02/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1090 GOAT SPRINGS RD.
TAOS NM
87571
US

IV. Provider business mailing address

1090 GOAT SPRINGS RD.
TAOS NM
87571
US

V. Phone/Fax

Practice location:
  • Phone: 575-758-4224
  • Fax: 575-751-5211
Mailing address:
  • Phone: 575-758-4224
  • Fax: 575-751-5211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number98-271
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: