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BlueSalud Provider Network Directory - Blue Cross Blue Shield of ...

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Primary Care <strong>Provider</strong>s<br />

Pediatrics<br />

CORONA GONZALEZ, GONZALO<br />

MD<br />

<strong>Provider</strong> ID: NM005U33<br />

1521 W 13TH ST , 88101<br />

575-769-0888<br />

Fax: 575-763-9154<br />

Languages: Spanish<br />

LA FATA, SALVATORE MD<br />

<strong>Provider</strong> ID: NM001570<br />

2020 SHEFFIELD DR , 88101<br />

575-762-4507<br />

Fax: 575-762-7220<br />

LUU, THIEN MD<br />

<strong>Provider</strong> ID: NM001660<br />

2000 W 21ST ST STE E2, 88101<br />

575-762-3726<br />

Fax: 575-762-3727<br />

MILLA, MARIA MD<br />

<strong>Provider</strong> ID: NM007Z70<br />

2100 DR MARTIN LUTHER KING JR ,<br />

88101<br />

575-769-2141<br />

Fax: 575-769-7147<br />

MILLA, MARIA MD<br />

<strong>Provider</strong> ID: NM007Z69<br />

2200 W 21ST ST , 88101<br />

575-769-7295<br />

Fax: 575-769-7596<br />

MORAN PAYAMPS, M MD<br />

<strong>Provider</strong> ID: NM003U60<br />

1521 W 13TH ST , 88101<br />

575-769-0888<br />

Fax: 575-763-9154<br />

Languages: Spanish<br />

TRAN, HIEN MD<br />

<strong>Provider</strong> ID: NM004Y33<br />

912 W 21ST ST , 88101<br />

575-769-2141<br />

Fax: 575-769-7337<br />

VICKERS, DAVID MD<br />

<strong>Provider</strong> ID: NM024200<br />

2200 W 21ST ST , 88101<br />

575-769-7577<br />

Fax: 575-769-7595<br />

WINTERS, KATHRYN MD<br />

<strong>Provider</strong> ID: NM022599<br />

912 W 21ST ST , 88101<br />

575-762-4455<br />

Languages: Spanish<br />

Radiation Pr<strong>of</strong>essional<br />

Service<br />

RUFUS J MARK MD PA,<br />

<strong>Provider</strong> ID: NM007M14<br />

2219 DILLION ST , 88101<br />

575-624-8738<br />

Fax: 575-624-8758<br />

THOMAS NEUMANN MD PA,<br />

<strong>Provider</strong> ID: NM007F89<br />

2219 DILLION ST , 88101<br />

575-624-8738<br />

Fax: 575-624-8758<br />

Radiology<br />

IMAGING CENTER OF CLOVIS<br />

LLC,<br />

<strong>Provider</strong> ID: NM007U93<br />

2105 W 21ST ST , 88101<br />

575-935-9729<br />

Fax: 575-935-9731<br />

PAUL ANDERSON MD PA,<br />

<strong>Provider</strong> ID: NM007M15<br />

2219 DILLION ST , 88101<br />

575-769-7365<br />

Fax: 575-624-8758<br />

Columbus<br />

Luna County<br />

Family Practice<br />

APODACA, KRYSTLE CNP<br />

<strong>Provider</strong> ID: NM006V86<br />

626 TAFT , 88029<br />

575-531-2165<br />

Fax: 575-531-2172<br />

CHAVEZ, DORIS MD<br />

<strong>Provider</strong> ID: NM001BF0<br />

626 TAFT , 88029<br />

575-531-2165<br />

Fax: 575-531-2172<br />

Languages: Spanish<br />

DEROY, JENNIFER CNP<br />

<strong>Provider</strong> ID: NM006C10<br />

626 TAFT , 88029<br />

575-531-2165<br />

Fax: 575-531-2172<br />

GARCIA, GLORIA CNP<br />

<strong>Provider</strong> ID: NM006L83<br />

626 TAFT , 88029<br />

575-531-2165<br />

Fax: 575-531-2172<br />

Languages: Spanish<br />

HARRIS, LEON MD<br />

<strong>Provider</strong> ID: NM005U13<br />

626 TAFT , 88029<br />

575-531-2165<br />

Fax: 575-531-2172<br />

Languages: Spanish<br />

MACEDO POTRZEBOWSKI, V CNP<br />

<strong>Provider</strong> ID: NM006T85<br />

626 TAFT , 88029<br />

575-531-2165<br />

Fax: 575-531-2172<br />

Languages: Portuguese<br />

MACIEL, GABRIEL CNP<br />

<strong>Provider</strong> ID: NM006U83<br />

626 TAFT , 88029<br />

575-531-2165<br />

Fax: 575-531-2172<br />

Languages: Spanish<br />

MADER, PENNY CNP<br />

<strong>Provider</strong> ID: NM007AK7<br />

626 TAFT , 88029<br />

575-531-2165<br />

Fax: 575-531-2172<br />

MARTINEZ, ENRIQUE MD<br />

<strong>Provider</strong> ID: NM001726<br />

626 TAFT , 88029<br />

575-531-2165<br />

Fax: 575-531-2172<br />

Languages: Spanish<br />

MILLER, CLYDE MD<br />

<strong>Provider</strong> ID: NM001A56<br />

626 TAFT , 88029<br />

575-531-2165<br />

Languages: Spanish<br />

NEELEY, RAQUEL MD<br />

<strong>Provider</strong> ID: NM009Y59<br />

626 TAFT , 88029<br />

575-531-2165<br />

Languages: Spanish<br />

OCASIO, ANDREA CNP<br />

<strong>Provider</strong> ID: NM007AI0<br />

626 TAFT , 88029<br />

575-531-2165<br />

Fax: 575-531-2172<br />

Languages: Spanish<br />

STOLARCZYK, LISA MD<br />

<strong>Provider</strong> ID: NM005M84<br />

626 TAFT , 88029<br />

575-531-2165<br />

Fax: 575-531-2172<br />

Languages: Spanish<br />

VEDAMANIKAM, CHANDRAN MD<br />

<strong>Provider</strong> ID: NM001CZ9<br />

626 TAFT , 88029<br />

575-531-2165<br />

Fax: 575-531-2172<br />

Federally Qualified Health<br />

Clinic (FQHC)<br />

BEN ARCHER HEALTH CTR,<br />

<strong>Provider</strong> ID: NM005149<br />

626 TAFT , 88029<br />

575-531-2165<br />

Fax: 575-531-2172<br />

Languages: Spanish<br />

Obstetrics-Gynecology<br />

SCHMIDT, DEBORAH CNP CNM<br />

<strong>Provider</strong> ID: NM006C23<br />

626 TAFT , 88029<br />

575-531-2165<br />

Fax: 575-531-2172<br />

Languages: Spanish<br />

Corona<br />

Lincoln County<br />

Family Practice<br />

CARDEN, SHIMER CNP<br />

<strong>Provider</strong> ID: NM006F71<br />

471 MAIN ST , 88318<br />

575-849-1561<br />

Fax: 575-849-1561<br />

Languages: Spanish<br />

MARTINEZ, MARY MD<br />

<strong>Provider</strong> ID: NM012141<br />

471 MAIN ST , 88318<br />

575-849-1561<br />

Fax: 575-849-1561<br />

Internal Medicine<br />

KUMAR, KRISHNA MD<br />

<strong>Provider</strong> ID: NM005S24<br />

471 MAIN ST PO BOX 37, 88318<br />

575-849-1561<br />

Fax: 575-849-1561<br />

Corrales<br />

Sandoval County<br />

Audiology<br />

WENDY GALLEGOS MA LLC,<br />

<strong>Provider</strong> ID: NM00EE45<br />

420 ASHLEY LN , 87048<br />

505-898-2474<br />

Fax: 505-899-8172<br />

Family Practice<br />

THAL, ALYSON MD<br />

<strong>Provider</strong> ID: NM029531<br />

3841 CORRALES RD , 87048<br />

505-792-3065<br />

Fax: 505-792-4004<br />

Counselor<br />

Sandoval County<br />

Family Practice<br />

KOZOLL, RICHARD MD<br />

<strong>Provider</strong> ID: NM001C91<br />

9837 STATE HWY 44 , 87018<br />

575-568-4328<br />

Federally Qualified Health<br />

Clinic (FQHC)<br />

PRESBYTERIAN MEDICAL<br />

SERVICE,<br />

<strong>Provider</strong> ID: NM007E23<br />

9837 STATE HWY 550 , 87018<br />

575-568-4328<br />

Coyote<br />

Rio Arriba County<br />

Family Practice<br />

KAZMIERSKI, SUSAN CNP<br />

<strong>Provider</strong> ID: NM006B14<br />

ST RD 96 BLDG 3396, 87012<br />

575-638-5487<br />

Fax: 575-638-9123<br />

Languages: Spanish<br />

Cuba<br />

Sandoval County<br />

Family Practice<br />

CLAPP-HUMBERT, KAREN CNP<br />

<strong>Provider</strong> ID: NM006P67<br />

2500 STATE HWY 197 , 87013<br />

505-731-2284<br />

Fax: 505-731-2381<br />

Languages: Spanish<br />

CLAPP-HUMBERT, KAREN CNP<br />

<strong>Provider</strong> ID: NM006P67<br />

6349 STATE HWY 550 , 87013<br />

575-289-3291<br />

Fax: 575-289-3648<br />

Languages: Spanish<br />

CLAPP-HUMBERT, KAREN CNP<br />

<strong>Provider</strong> ID: NM006P67<br />

OJO ENCINO CHAPTER RD STE 2,<br />

87013<br />

505-731-2268<br />

Fax: 505-731-2379<br />

Languages: Spanish<br />

GARCIA, TIMOTHY MD<br />

<strong>Provider</strong> ID: NM023240<br />

2 OJO ENCINO CHAPTER RD , 87013<br />

505-731-2268<br />

Fax: 505-731-2379<br />

GARCIA, TIMOTHY MD<br />

<strong>Provider</strong> ID: NM023240<br />

2500 STATE HWY 197 , 87013<br />

505-731-2284<br />

Fax: 505-731-2381<br />

February 2012 21<br />

Cuba<br />

Primary Care <strong>Provider</strong>s

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