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Organization
MEMORIAL MEDICAL CENTER
Active
Organization
MEMORIAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MADRID (ASST COORD)
(575) 521-5385
Entity
Organization
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(575) 521-5385
Mailing address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(575) 521-5385
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RS2014-0581
NM
Other
Enumeration date
06/26/2014
Last updated
06/26/2014
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