IndividualActive
Edgar Janetzko, M.D.
NPI 1215999891 · Internal Medicine Physician · Truth Or Consequences, NM
Provider details
- NPI number
- 1215999891
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- L1895 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1960 N Date St
Truth Or Consequences, NM 87901-3701
Phone: (575) 894-7662
Fax: (575) 894-7930
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 370
Hatch, NM 87937-0370
Registry dates
- Enumerated
- 2006-04-06
- Last updated
- 2022-08-31
- Certified
- 2022-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.