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Individual

DR. EARL A LATIMER III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
115 E 19TH ST, ROSWELL, NM 88201-5110
(575) 622-7600
(575) 622-3856
Mailing address
115 E 19TH ST, ROSWELL, NM 88201-5110
(575) 622-7600
(575) 622-3856

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
92-93
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07167
NM
Enumeration date
05/15/2006
Last updated
12/03/2019
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