SMALL TOWN FAMILY PRACTICE LLC is a primary care clinic center in Albuquerque, NM. SMALL TOWN FAMILY PRACTICE LLC NPI is 1164194940. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
4225 MONTGOMERY BLVD NE ALBUQUERQUE, NM ZIP 87109-103 Phone: (505) 366-3635 Fax: (505) 221-5429
The provider's authorized official is Deanna Rene Clark . The authorized official title is Co-owner/ Co-manager and has the following contact phone number (505) 366-3635.
The enumeration date for this NPI number is 9/30/2021 and was last updated on 9/30/2021.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 3/30/2025
NPI Synchronization or Removal
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