Michael Sbarge, MD

Individual provider Active NPI Family Medicine Physician · Zuni, NM

NPI 1619976859 · NPPES record last updated Feb 17, 2012

Key facts

NPI
1619976859
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
98-153 (NM)
Practice address
Route 301 North 'B' Street
Zuni, NM 87327-0467
Phone
(505) 782-4431
Fax
(505) 782-7551
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 98-153 NM Yes

Addresses

Primary practice location

Route 301 North 'B' Street
Zuni, NM 87327-0467

Mailing address

PO Box 467
Zuni, NM 87327-0467
Phone (505) 782-4431

Other identifiers

IdentifierTypeStateIssuer
000S6886MedicaidNM

Other providers in Zuni, NM

All providers in Zuni, NM · Family Medicine Physician in New Mexico

Sources for this page

Verify at the official NPI Registry.