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Organization
RIO GRANDE HEMATOLOGY AND ONCOLOGY, LLC
Active
Organization
RIO GRANDE HEMATOLOGY AND ONCOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE SAMUEL (OWNER)
(575) 642-6566
Entity
Organization
Contact information
Practice address
4391 EAST LOHMAN AVE., LAS CRUCES, NM 88011
(575) 522-2633
(575) 522-2311
Mailing address
4391 EAST LOHMAN, LAS CRUCES, NM 88011
(575) 522-2633
(575) 522-2311
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
NULL
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
10/02/2019
Last updated
03/10/2020
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