Organization
PRESBYTERIAN MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY ROANHORSE (MEDICAL LAB AIDE)
(505) 686-0841
Entity
Organization
Contact information
Practice address
1001 W BROADWAY STE D, FARMINGTON, NM 87401-5638
(505) 326-9157
Mailing address
2525 E 16TH ST APT 217, FARMINGTON, NM 87401-7659
(505) 686-0841
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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