Organization
ST MARTIN DE PORRES EYE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS M BOYLE MD (OWNER)
(505) 544-0048
Entity
Organization
Contact information
Practice address
1208 SOUTH COLUMBUS RD, DEMING, NM 88030
(505) 544-0048
(505) 544-0165
Mailing address
1208 SOUTH COLUMBUS RD, DEMING, NM 88030
(505) 544-0048
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
2002-0264
NM
Other
Enumeration date
12/01/2006
Last updated
08/22/2020
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