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Organization
FILLMORE EYE CLINIC INC, ASC
Active
Organization
FILLMORE EYE CLINIC INC, ASC
Active
Parent organization
FILLMORE EYE CLINIC INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FILLMORE EYE CLINIC INC
Authorized official
PARLEY D FILLMORE MD, PHD (PRESIDENT)
(575) 434-1200
Entity
Organization
Contact information
Practice address
1124 10TH ST, ALAMOGORDO, NM 88310-6414
(575) 434-1200
(575) 437-3947
Mailing address
1124 10TH ST, ALAMOGORDO, NM 88310-6414
(575) 434-1200
(575) 437-3947
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
6134
NM
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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