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Organization

SOUTHWEST RECOVERY AND WELLNESS LLC

Active
Find providers by NPI
Organization

SOUTHWEST RECOVERY AND WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT D. MILLER (PRESIDENT)
(323) 854-8587
Entity
Organization

Contact information

Practice address
3874 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4479
(505) 896-9412
(505) 895-2505
Mailing address
914 PINEHURST RD SE, RIO RANCHO, NM 87124-2219
(323) 854-8587
(505) 896-2505

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1568643146
NM
Enumeration date
03/13/2018
Last updated
03/13/2018
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