Doctor Name: | MR. CAL K CURT |
NPI Number: | 1356331540 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CNP |
License Number: | R27710 |
Business Practice Address: | 211 N Pine Chama, NM - 875201005 |
Business Phone Number: | 5757562143 |
Business Fax Number: | 5757562821 |
Mailing Address: | 620 N Coronado Ave, ESPANOLA |
State: | NM |
Postal Code: | 875320238 |
Phone Number: | 5057537218 |
Fax Number: | 5057535815 |
NPI Enumeration Date: | 10/27/2005 |
NPI Last Update Date: | 08/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R27710 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |