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Organization

RIO GRANDE MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HASAN ADNAN M.D. (PRESIDENT)
(505) 532-8900
Entity
Organization

Contact information

Practice address
4351 E LOHMAN AVE, SUITE 301, LAS CRUCES, NM 88011-8259
(505) 532-8900
(505) 532-8974
Mailing address
4351 E LOHMAN AVE, SUITE 301, LAS CRUCES, NM 88011-8259
(505) 532-8900
(505) 532-8974

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
44923
NM
Enumeration date
03/22/2007
Last updated
08/22/2020
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