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Organization
LAS CRUCES PHYSICIAN PRACTICES, LLC
Active
Organization
LAS CRUCES PHYSICIAN PRACTICES, LLC
Active
Other names
MMC Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MANGUM (DIRECTOR PHYSICIAN SERVICES)
(505) 521-5277
Entity
Organization
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(505) 521-5277
Mailing address
PO BOX 6310, LAS CRUCES, NM 88006-6310
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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