Organization
AZTEC URGENT CARE, LLC
Active
Other names
Four Corners Urgent Care, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN VINCENT (PRESIDENT)
(970) 247-8382
Entity
Organization
Contact information
Practice address
604 S RIO GRANDE AVE, AZTEC, NM 87410-2260
(505) 334-2664
(505) 334-7759
Mailing address
2577 MAIN AVE, DURANGO, CO 81301-5919
(970) 247-8382
(970) 259-4403
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
69824762
—
NM
Enumeration date
12/18/2009
Last updated
05/09/2025
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