Individual
PATRICK J HOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1600 NORTH MAIN, LOVINGTON, NM 88260-2813
(575) 396-6611
(575) 396-1454
Mailing address
1600 N MAIN AVE, LOVINGTON, NM 88260-2830
(575) 396-6611
(575) 396-1454
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A-1091-98
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S8178
—
NM
Enumeration date
06/22/2006
Last updated
03/09/2017
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