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Organization
THE RIVERSONG CENTER OF INTEGRATIVE MEDICINE INC
Active
Organization
THE RIVERSONG CENTER OF INTEGRATIVE MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADFORD SCOTT HAIRE DO (BILLING COMPANY PRESIDENT)
(575) 534-8000
Entity
Organization
Contact information
Practice address
1210 EAST 32ND ST, SILVER CITY, NM 88061
(575) 534-8000
(575) 534-8002
Mailing address
1210 EAST 32ND ST, SILVER CITY, NM 88061
(575) 534-8000
(575) 534-8002
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
06/18/2009
Last updated
03/02/2011
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