Organization
SOUTHWEST CENTER ON AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS ROBERTO DURAN M.D. (OWNER)
(575) 647-8366
Entity
Organization
Contact information
Practice address
1106 CENTRE CT, LAS CRUCES, NM 88011-8154
(575) 532-5455
(575) 532-5641
Mailing address
1106 CENTRE CT, LAS CRUCES, NM 88011-8154
(575) 532-5455
(575) 532-5641
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2008-0053
NM
Other
Enumeration date
11/03/2009
Last updated
04/24/2025
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