Dr. Portia Deanne Sykes
Sports Medicine Doctor
8100 East Main Street
Farmington
, New Mexico 87402
Dr. Portia Deanne Sykes
Sports Medicine Doctor
8100 East Main Street
Farmington
, New Mexico 87402
(505) 327-3212
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Dr. Portia Deanne Sykes
- Po Box 1136
- Farmington, NM
- Zip : 87499
- Fax : (505) 327-3212
- Phone : (505) 327-0086
Second Address
- Dr. Portia Deanne Sykes
- 8100 East Main Street
- Farmington, NM
- Zip : 87402
- Fax : (505) 327-3212
- Phone : (505) 327-0086
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Is Dr. Portia Deanne Sykes a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204C00000X | Sports Medicine Doctor | IL | |
| Y | 204C00000X | Sports Medicine Doctor | 0011 | NM |
National Provider Identifier
| NPI | 1568531481 |
|---|---|
| Provider Name | Dr. Portia Deanne Sykes |
| First Address | Farmington, NM 87499 |
| Second Address | Farmington, NM 87402 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/11/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.