Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | A-1548-10 | NM |
NPI | 1285645093 |
---|---|
Provider Name | Dr. Toni A. Price |
First Address | Cuba, NM 87013 |
Second Address | Cuba, NM 87013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2006 |
Last Update Date | 03/02/2015 |