Active NPI 1811287782 Individual Practitioner Male Practitioner

Dr. Daniel Brooks Mannas , MD

Urology • Farmington, NM

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Mannas, MD is a certified Urology practicing in Farmington, NM. With approximately 10 years of clinical experience since graduating from Ohio State University College Of Medicine in 2016, Dr. Mannas delivers high-quality medical care to the local community at 2700 FARMINGTON AVE.

Dr. Mannas is affiliated with San Juan Regional Medical Center, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, onabotulinumtoxina, 1 unit, established patient outpatient office visit, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2700 Farmington Ave
Bldg E Ste 1

Farmington, NM 874014559

Telephone 5056096380

Fax 5055994641

Associated Practice Facility / Clinic

🏢 Select Physical Therapy Holdings Inc Facility NPI 1447209655

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Farmington, NM

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -9.5 yrs vs City Avg

City Avg: 19.5 Yrs

State Avg: 24.7 Yrs

Regional Practice Density

5 Specialists

Practicing in Farmington, NM (63 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mannas (10 Years) 10 Yrs

Farmington Specialty Average (19.5 Years) 19.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	3,900	20	$16.10	$6.26
99213 Established patient office or other outpatient visit, typically 15 minutes	388	308	$185.92	$85.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	359	247	$271.47	$119.71
81003 Automated urinalysis test	257	162	$9.00	$2.20
51702 Simple insertion of temporary bladder tube	175	36	$247.00	$57.62
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	131	131	$399.09	$157.96
51798 Ultrasound measurement of bladder capacity after voiding	126	112	$73.00	$10.17
52000 Diagnostic exam of bladder and urethra using an endoscope	109	100	$620.00	$218.87
51741 Electronic assessment of bladder emptying	58	52	$232.00	$9.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	43	$110.61	$53.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	21	$182.07	$75.30
52287 Exam with injections of chemical for destruction of bladder using an endoscope	26	20	$946.00	$358.42
52356 Crushing of stone of ureter with insertion of stent using an endoscope	19	15	$1535.68	$426.77
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	19	17	$520.00	$48.38
55700 Biopsy of prostate gland	17	17	$811.29	$220.74
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	16	16	$1134.06	$331.98
51797 Insertion of device into abdomen with pressure and urine flow rate study	16	16	$838.00	$171.35
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	16	16	$826.00	$296.00
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	16	16	$596.00	$30.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$324.87	$125.04
52332 Insertion of stent in urinary duct (ureter) using an endoscope	14	11	$1507.00	$125.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$492.00	$165.12
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$2703.91	$697.36
J1580 Injection, garamycin, gentamicin, up to 80 mg	11	11	$10.73	$2.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	3,700	14	$13.72	$6.23
99213 Established patient office or other outpatient visit, typically 15 minutes	395	301	$161.45	$86.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	352	237	$242.77	$121.40
81003 Automated urinalysis test	290	175	$8.30	$2.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	140	140	$374.40	$161.23
51798 Ultrasound measurement of bladder capacity after voiding	130	121	$66.77	$9.72
51702 Simple insertion of temporary bladder tube	107	26	$231.31	$58.11
52000 Diagnostic exam of bladder and urethra using an endoscope	100	92	$620.00	$224.71
51741 Electronic assessment of bladder emptying	81	75	$227.77	$9.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	16	$176.00	$77.41
52287 Exam with injections of chemical for destruction of bladder using an endoscope	20	14	$946.00	$368.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	16	$97.67	$54.14
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	17	16	$520.00	$55.51
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	14	$48.41	$21.69
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	16	16	$982.69	$341.17
55700 Biopsy of prostate gland	16	16	$694.25	$230.04
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	12	$1467.00	$417.91
51797 Insertion of device into abdomen with pressure and urine flow rate study	16	16	$838.00	$178.93
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	16	16	$596.00	$30.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$244.14	$108.02
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	13	13	$826.00	$302.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	5,200	21	$13.53	$6.13
99213 Established patient office or other outpatient visit, typically 15 minutes	439	317	$158.00	$87.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	381	260	$238.00	$122.67
81003 Automated urinalysis test	302	181	$7.28	$2.21
51798 Ultrasound measurement of bladder capacity after voiding	189	163	$58.78	$9.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	159	159	$368.00	$161.80
51702 Simple insertion of temporary bladder tube	140	34	$224.00	$59.41
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	119	42	$47.00	$21.77
51741 Electronic assessment of bladder emptying	107	97	$225.00	$10.87
52000 Diagnostic exam of bladder and urethra using an endoscope	86	80	$620.00	$230.96
51700 Simple bladder irrigation and/or instillation	38	14	$253.00	$73.49
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	18	$176.00	$69.57
52287 Exam with injections of chemical for destruction of bladder using an endoscope	32	22	$936.63	$371.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	27	$95.00	$53.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	22	$323.00	$170.67
55700 Biopsy of prostate gland	22	22	$688.00	$234.52
52356 Crushing of stone of ureter with insertion of stent using an endoscope	21	18	$1342.33	$429.07
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	20	20	$520.00	$56.00
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	19	19	$596.00	$30.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	17	$324.00	$132.12
51797 Insertion of device into abdomen with pressure and urine flow rate study	18	18	$838.00	$180.54
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	18	18	$942.00	$343.29
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	16	15	$753.38	$309.81
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	15	15	$2651.00	$718.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$220.33	$108.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	3,600	20	$13.53	$6.07
99213 Established patient office or other outpatient visit, typically 15 minutes	487	325	$158.00	$88.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	450	294	$238.58	$126.10
81003 Automated urinalysis test	380	211	$7.00	$2.24
51798 Ultrasound measurement of bladder capacity after voiding	290	239	$57.00	$9.45
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	221	53	$47.00	$21.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	197	197	$368.00	$164.94
51741 Electronic assessment of bladder emptying	148	137	$225.00	$11.34
52000 Diagnostic exam of bladder and urethra using an endoscope	137	126	$620.00	$223.88
51702 Simple insertion of temporary bladder tube	92	22	$224.00	$61.09
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	40	13	$699.25	$51.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	19	$176.00	$70.78
51700 Simple bladder irrigation and/or instillation	30	11	$253.00	$74.70
52287 Exam with injections of chemical for destruction of bladder using an endoscope	28	21	$934.00	$366.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$214.00	$110.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	18	$323.00	$178.62
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	18	18	$2651.00	$713.87
55700 Biopsy of prostate gland	18	16	$688.00	$242.84
52356 Crushing of stone of ureter with insertion of stent using an endoscope	16	14	$1313.00	$442.56
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	15	15	$743.00	$302.30
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	15	15	$520.00	$56.05
51797 Insertion of device into abdomen with pressure and urine flow rate study	14	14	$838.00	$177.04
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	14	14	$942.00	$353.73
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	13	13	$596.00	$32.04
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	13	13	$1191.23	$210.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$314.85	$134.13
52332 Insertion of stent in urinary duct (ureter) using an endoscope	12	11	$1507.00	$167.80
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$476.00	$197.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	2,200	13	$13.53	$5.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	340	253	$237.40	$106.44
99213 Established patient office or other outpatient visit, typically 15 minutes	330	271	$156.86	$72.89
51798 Ultrasound measurement of bladder capacity after voiding	313	235	$57.00	$9.62
81003 Automated urinalysis test	256	163	$7.00	$2.20
51741 Electronic assessment of bladder emptying	208	170	$223.77	$12.18
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	189	38	$47.00	$22.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	154	154	$368.58	$163.34
52000 Diagnostic exam of bladder and urethra using an endoscope	134	125	$620.00	$202.44
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	97	12	$392.00	$121.58
51705 Removal of skin suture with change of bladder tube	84	13	$315.00	$93.78
51702 Simple insertion of temporary bladder tube	68	20	$223.62	$59.81
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	59	19	$199.00	$52.48
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	21	21	$942.00	$339.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$216.29	$101.70
51797 Insertion of device into abdomen with pressure and urine flow rate study	21	21	$838.00	$155.84
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	19	19	$744.00	$217.82
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	18	18	$596.00	$33.46
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	17	17	$743.00	$285.72
55700 Biopsy of prostate gland	17	17	$688.00	$245.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	13	$323.00	$144.12
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	16	$520.00	$56.34
51700 Simple bladder irrigation and/or instillation	16	13	$253.00	$71.23
52356 Crushing of stone of ureter with insertion of stent using an endoscope	15	13	$1313.00	$460.23
52287 Exam with injections of chemical for destruction of bladder using an endoscope	14	12	$934.00	$336.32
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	14	14	$2651.00	$755.74
52332 Insertion of stent in urinary duct (ureter) using an endoscope	14	13	$1507.00	$143.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	2,800	15	$13.53	$5.86
99213 Established patient office or other outpatient visit, typically 15 minutes	425	300	$155.10	$72.97
51798 Ultrasound measurement of bladder capacity after voiding	397	247	$57.00	$12.00
51741 Electronic assessment of bladder emptying	389	237	$220.87	$12.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	373	261	$233.41	$106.49
81003 Automated urinalysis test	284	194	$7.00	$2.42
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	201	52	$199.00	$62.87
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	187	43	$47.00	$21.81
52000 Diagnostic exam of bladder and urethra using an endoscope	181	166	$620.00	$184.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	158	158	$368.49	$163.67
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	137	16	$392.00	$122.27
51702 Simple insertion of temporary bladder tube	90	34	$224.00	$60.33
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	52	52	$744.00	$230.54
51700 Simple bladder irrigation and/or instillation	46	38	$253.00	$72.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$220.00	$107.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	25	$323.00	$141.20
52356 Crushing of stone of ureter with insertion of stent using an endoscope	26	20	$1313.00	$453.26
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	15	$98.00	$39.60
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	21	21	$596.00	$33.42
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	21	21	$743.00	$266.00
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	21	21	$942.00	$324.38
52287 Exam with injections of chemical for destruction of bladder using an endoscope	20	15	$934.00	$322.32
51797 Insertion of device into abdomen with pressure and urine flow rate study	20	20	$838.00	$133.87
55700 Biopsy of prostate gland	19	19	$688.00	$245.98
J1580 Injection, garamycin, gentamicin, up to 80 mg	18	13	$5.50	$1.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	12	$176.00	$72.99
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	14	14	$2651.00	$757.97
52332 Insertion of stent in urinary duct (ureter) using an endoscope	13	12	$1507.00	$160.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0585 Injection, onabotulinumtoxina, 1 unit	1,750	12	$11.00	$5.51
99213 Established patient office or other outpatient visit, typically 15 minutes	372	277	$153.42	$69.59
81003 Automated urinalysis test	311	192	$7.00	$2.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	253	185	$233.50	$101.77
51741 Electronic assessment of bladder emptying	236	167	$220.79	$13.67
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	151	40	$47.00	$19.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	111	111	$367.84	$157.83
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	103	15	$392.00	$118.41
52000 Diagnostic exam of bladder and urethra using an endoscope	96	91	$620.00	$156.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$254.94	$104.30
51702 Simple insertion of temporary bladder tube	74	30	$222.16	$60.91
51700 Simple bladder irrigation and/or instillation	42	34	$253.00	$70.00
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	18	17	$2651.00	$732.88
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$225.00	$99.18
52356 Crushing of stone of ureter with insertion of stent using an endoscope	14	12	$1313.00	$452.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$324.00	$133.42
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	12	$520.00	$56.65
52287 Exam with injections of chemical for destruction of bladder using an endoscope	13	11	$934.00	$271.96
55700 Biopsy of prostate gland	12	12	$688.00	$238.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81003 Automated urinalysis test	238	149	$7.00	$3.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	186	186	$366.94	$159.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	158	124	$235.88	$103.67
99213 Established patient office or other outpatient visit, typically 15 minutes	156	119	$157.23	$70.64
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	135	15	$392.00	$119.62
51741 Electronic assessment of bladder emptying	92	75	$223.57	$14.44
52000 Diagnostic exam of bladder and urethra using an endoscope	68	59	$620.00	$154.26
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	56	25	$47.00	$19.13
51702 Simple insertion of temporary bladder tube	34	20	$222.74	$60.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$254.00	$105.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$324.00	$135.21
55700 Biopsy of prostate gland	16	15	$688.00	$239.31
76872 Ultrasound scan of pelvic region through rectum	16	15	$408.00	$89.97
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	16	15	$520.00	$57.85
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	12	12	$743.00	$236.95
52356 Crushing of stone of ureter with insertion of stent using an endoscope	11	11	$1313.00	$422.60

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License NM MD2016-0480

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

San Juan Regional Medical Center, Inc.

2700 Farmington Ave Bldg, Farmington, NM 874014550

Phone: 5056096830

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Amanda Colyer

Physician Assistant

NPI 1043553217

Dr. Christopher Taylor , MD

Urology

NPI 1871813964

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 19, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 19, 2016

Registered at 2700 FARMINGTON AVE, BLDG E STE 1, FARMINGTON, NM 874014559 (Tel: 5056096380)

📍

Updated Business Mailing Address August 19, 2016

Registered at PO BOX 6210, FARMINGTON, NM 874996210 (Tel: 5056092258)

👤

Provider Name / Credentials Updated August 19, 2016

Recorded as DANIEL MANNAS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2016

Urology (License #MD2016-0480 in NM)

🟢

Initial NPI Registration & Enumeration April 13, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1811287782

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 13, 2011

Last Update: August 19, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 6210

Farmington, NM 874996210

Phone: 5056092258

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.