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Organization
PHC LAS CRUCES, INC
Active
Organization
PHC LAS CRUCES, INC
Active
Other names
MMC Family Medicine Center ECHO Care
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MCGONNELL (CFO)
(575) 521-5295
Entity
Organization
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(575) 521-5370
(575) 521-5376
Mailing address
PO BOX 6159, LAS CRUCES, NM 88006-6159
(575) 521-5370
(575) 521-5376
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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