Organization
LAS VEGAS PRIMARY CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAT A ROYBAL (OFFICE MANAGER)
(505) 982-0123
Entity
Organization
Contact information
Practice address
2020 7TH ST, LAS VEGAS, NM 87701-4958
(505) 425-6731
(505) 454-1185
Mailing address
1 CALLE MEDICO, SANTA FE, NM 87505-4764
(505) 982-0123
(505) 982-5714
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R36466NM
NM
Other
Enumeration date
01/19/2009
Last updated
01/19/2009
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