Basic Information
| Provider Information | |||||||||
| NPI: | 1588732168 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DEARMAN | ||||||||
| FirstName: | MARIA | ||||||||
| MiddleName: | DOLORES | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6920 ASTAIR AVE NW | ||||||||
| Address2: | |||||||||
| City: | ALBUQUERQUE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 871204422 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5058187560 | ||||||||
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| Practice Location | |||||||||
| Address1: | OF FAMILY COMMUNITY MEDICINE MSC 09-5040 | ||||||||
| Address2: | 1 UNIVERSITY OF NEW MEXICO | ||||||||
| City: | ALBUQUERQUE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 871310001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5052726607 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/01/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | AB70003469B157 | NM | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.