Organization
ROSWELL CLINIC CORP
Active
Parent organization
ROSWELL CLINIC CORP
Other names
Mesa Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROSWELL CLINIC CORP
Authorized official
DEBBIE BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization
Contact information
Practice address
350 W COUNTRY CLUB RD, SUITE 201, ROSWELL, NM 88201-5205
(505) 622-1841
(505) 622-5316
Mailing address
330 FRANKLIN RD, #135A-599, BRENTWOOD, TN 37027-3280
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
07/15/2008
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