Organization
ALAMOGORDO NEPHROLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ALFONSO VELASQUEZ D.O. (PRESIDENT)
(915) 855-8519
Entity
Organization
Contact information
Practice address
2474 INDIAN WELLS RD, ALAMOGORDO, NM 88310
(915) 855-8519
(915) 849-8238
Mailing address
935 RIM RD, EL PASO, TX 79902
(915) 855-8519
(915) 849-8238
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A111499
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71226
—
NM
Enumeration date
12/13/2006
Last updated
12/05/2011
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