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Organization

CHARLES L SECORA

Active
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Organization

CHARLES L SECORA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES L SECORA MD (OWNER)
(575) 445-4111
Entity
Organization

Contact information

Practice address
166 HOSPITAL DR, RATON, NM 87740-2002
(575) 445-4111
(575) 445-2666
Mailing address
166 HOSPITAL DR, RATON, NM 87740-2002
(575) 445-4111
(575) 445-2666

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
89-298
NM

Other

Enumeration date
01/08/2009
Last updated
01/08/2009
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