Individual
MR. CHARLES M ZUREK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2321 WESTGATE CT STE B, LAS CRUCES, NM 88005-4138
(505) 526-3251
(505) 526-3710
Mailing address
2321 WESTGATE CT STE B, LAS CRUCES, NM 88005-4138
(505) 526-3251
(505) 526-3710
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10021674
LOVELACE HEALTH PLAN
NM
05
—
54834759
—
NM
Enumeration date
01/23/2007
Last updated
07/09/2007
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