Blue Skies Primary Care PC
Organization Active NPI Family Medicine Physician · Deming, NM
NPI 1740321439 · NPPES record last updated Jan 28, 2010
Key facts
- NPI
- 1740321439
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- BLUE SKIES PRIMARY CARE PC
- Practice address
- 1110 W Florida St
Deming, NM 88030-4908 - Phone
- (505) 546-4811
- Fax
- (505) 546-4821
- NPI assigned
- Feb 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Robert Graor, M.D.
- Title
- President
- Phone
- (505) 546-4811
Practitioners 1
-
Joel M. Jones, D.O.
National Provider Directory
Locations
1110 W Florida St
Deming, NM 88030
Phone (505) 546-4811
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | NM | Yes |
Addresses
Primary practice location
1110 W Florida St
Deming, NM 88030-4908
Mailing address
1110 W Florida St
Deming, NM 88030-4908
Phone (505) 546-4811
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70974764 | Medicaid | NM |
Other providers in Deming, NM
- Ben Archer Health Center
- Ben Archer Health Center
- Bestcare Pharmacy Deming
- Braeden Blandford
- Blue Skies Health Care, Inc
- Richard S Bohnstedt
- Jodie Lynn Bookout
- Thomas Martin Boyle
- David Eaton Bragg
- Christina Delao Breeden
All providers in Deming, NM · Family Medicine Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.