Search › New Mexico › 207R00000X
Edgar Janetzko, M.D
NPI 1215999891 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1960 N Date St
Truth Or Consequences, NM 87901 - Phone
- (575) 894-7662
- Fax
- (575) 894-7930
- Organisation at this address
- Albuquerque Vamc
Ben Archer Health CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
- Licence states on file
- TX, NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico