DR. EDOMIAS DESTA, MD

Internal Medicine

Active Individual
NPI: 1124549266

Practice Address

801 W MAPLE ST
Farmington, NM 87401

Phone: (505) 609-6463

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X No -
Internal Medicine 207R00000X Yes MD2020-0384 (NM)

Frequently Asked Questions

NPI 1124549266 is the National Provider Identifier for DR. EDOMIAS DESTA, MD, a Internal Medicine provider located in Farmington, NM. This NPI was enumerated on June 28, 2017.
DR. EDOMIAS DESTA, MD practices at 801 W MAPLE ST, Farmington, NM 87401.

Quick Facts

NPI
1124549266
Type
Individual
Enumerated
Jun 28, 2017
Last Updated
Jul 16, 2020

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