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Organization
WOMEN'S MEDICAL CENTER LLP
Active
Organization
WOMEN'S MEDICAL CENTER LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LONNIE RAY (ADMINISTRATOR)
(575) 762-8055
Entity
Organization
Contact information
Practice address
2000 W 21ST ST, SUITE A-1, CLOVIS, NM 88101-4087
(505) 762-8055
(505) 763-3351
Mailing address
2000 W 21ST ST, SUITE A-1, CLOVIS, NM 88101-4087
(505) 762-8055
(505) 763-3351
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
8738
NM
Other
Enumeration date
07/18/2005
Last updated
05/03/2012
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