| Chandi Bankston, D.o. | |
|
1315 12th St Alamogordo NM 88310-5810 | |
| (505) 437-5716 | |
| (505) 437-5733 |
| Full Name | Chandi Bankston, D.o. |
|---|---|
| Speciality | Family Medicine |
| Location | 1315 12th St, Alamogordo, New Mexico |
| Authorized Official Name and Position | Chandi Bankston (OWNER) |
| Authorized Official Contact | 5054375716 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chandi Bankston, D.o. 1315 12th St Alamogordo NM 88310-5810 Ph: (505) 437-5716 | Chandi Bankston, D.o. 1315 12th St Alamogordo NM 88310-5810 Ph: (505) 437-5716 |
| NPI Number | 1235318023 |
|---|---|
| Provider Enumeration Date | 10/29/2007 |
| Last Update Date | 10/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235318023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A-1146-00 (New Mexico) | Primary |
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