Healthcare Provider Details

I. General information

NPI: 1285012583
Provider Name (Legal Business Name): EMMA OBERLANDER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2015
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ROUTE 301 NORTH
ZUNI NM
87327-0467
US

IV. Provider business mailing address

PO BOX 467
ZUNI NM
87327-0467
US

V. Phone/Fax

Practice location:
  • Phone: 505-782-4431
  • Fax: 505-782-4502
Mailing address:
  • Phone: 505-782-4431
  • Fax: 505-782-4502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA224119
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberDO4232
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: