OrganizationActive
Animas Dermatology MD PC
NPI 1063576148 · Specialist · Farmington, NM
Provider details
- NPI number
- 1063576148
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jean Graham, Ceo(505) 324-8375
- License
- 97-254 (NM)
Specialties & taxonomies
Other Service Providers
Practice location
4801 N Butler Ave Ste 9101
Farmington, NM 87401-3300
Phone: (505) 324-8375
Fax: (505) 327-4638
Approximate (ZIP-level) locationGet directions
Mailing address
1654 County Road 120
Hesperus, CO 81326-9752
Registry dates
- Enumerated
- 2006-12-21
- Last updated
- 2018-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.