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Individual

JOSEPH BENJAMIN WALCHER II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1211 E. EIGHTH STREET, SUITE C, ALAMOGORDO, NM 88310
(575) 551-5111
(575) 551-5112
Mailing address
P.O. BOX 666, ALAMOGORDO, NM 88311-0666
(575) 551-5111
(575) 551-5112

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
73-221
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
26237
NM
01
850240201
TAX ID
NM
Enumeration date
01/25/2007
Last updated
01/03/2011
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