Organization
SOUTHWEST FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M STANLEY M.D. (OWNER)
(505) 388-5170
Entity
Organization
Contact information
Practice address
1318 E 32ND ST, FL 1, SILVER CITY, NM 88061-7252
(505) 388-5170
(505) 388-5176
Mailing address
1318 E 32ND ST, FL 1, SILVER CITY, NM 88061-7252
(505) 388-5170
(505) 388-5176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A-1194-02
NM
332B00000X
Durable Medical Equipment & Medical Supplies
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F7238
—
NM
Enumeration date
06/15/2005
Last updated
05/12/2008
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