Wanicha Buraphacheep-coggins M.D.

NPI 1083736136 - Pediatrics - 2080P0208X

NPI Details
NPI 1083736136
Gender Female
Enumeration Date 04/06/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2040 S PACHECO ST
NM DOH FAMILY PLANNING PROGRAM
SANTA FE NM, 87505-5472, US
Phone (505) 476-8870
Fax (505) 476-8898
Business Location
2040 S PACHECO ST
NM DOH FAMILY PLANNING PROGRAM
SANTA FE NM, 87505-5472, US
Phone (505) 476-8870
Fax (505) 476-8898
Toxanomy
Taxonomy Code 2080P0208X
License State New Mexico
License Number 98-34
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According to our database, Wanicha Buraphacheep-coggins M.D. NPI is 1083736136, taxonomy code is 2080P0208X and license number is 98-34, license state is located at New Mexico. Wanicha Buraphacheep-coggins M.D. physically located at 2040 S Pacheco St, Santa Fe NM, 87505-5472. NPI Number Wanicha Buraphacheep-coggins M.D. has the Individual type.

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1083736136 NPI number is provided on an as is basis without warranty of any kind. 1083736136 is maintained by the National Plan & Provider Enumeration System. The contents of Wanicha Buraphacheep-coggins M.D. are for informational purposes only.