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Organization
NOR-LEA HOSPITAL DISTRICT
Active
Organization
NOR-LEA HOSPITAL DISTRICT
Active
Other names
Professional Physicians Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SHAW (CEO)
(575) 396-6611
Entity
Organization
Contact information
Practice address
1600 N MAIN AVE, LOVINGTON, NM 88260-2813
(575) 396-6611
Mailing address
1600 N MAIN AVE, LOVINGTON, NM 88260-2813
(575) 396-6611
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
—
NM
282NC0060X
Critical Access Hospital
—
NM
Other
Enumeration date
11/19/2009
Last updated
01/04/2010
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