# SOUTHWEST OBSTETRICS AND GYNECOLOGY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710176995
- **Authorized official:** DR. MARK ALLEN FISHER MD (OWNER)
- **Authorized official phone:** (505) 325-4898

## Contact information

- **Practice address:** 634 W PINON ST, FARMINGTON, NM 87401-5915
- **Practice address phone:** (505) 325-4898
- **Practice address fax:** (505) 325-7898
- **Mailing address:** 634 W PINON ST, FARMINGTON, NM 87401-5915
- **Mailing address phone:** (505) 325-4898
- **Mailing address fax:** (505) 325-7898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MD2007-0662 | NM | Yes |

## Other

- **Enumeration date:** 10/23/2007
- **Last updated:** 03/04/2010