Organization
RIO PECOS MEDICAL ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CODY DODSON (OFFICE MANAGER)
(575) 622-6322
Entity
Organization
Contact information
Practice address
305 W COUNTRY CLUB RD, ROSWELL, NM 88201-5892
(575) 622-6322
(575) 622-6888
Mailing address
PO BOX 2608, ROSWELL, NM 88202-2608
(575) 622-6322
(575) 622-6888
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55526721
—
NM
Enumeration date
02/14/2007
Last updated
11/07/2007
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