Individual
DR. VICTORIA DE GUZMAN FERNANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2100 N MARTIN LUTHER KING JR BLVD, EMERGENCY MEDICINE DEPARTMENT, CLOVIS, NM 88101
(601) 765-3180
(601) 765-2808
Mailing address
2100 MARTIN LUTHER KING JR BLVD, CLOVIS, NM 88101
(575) 769-7335
(575) 769-7336
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
18178
MS
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD2010-0102
NM
207R00000X
Internal Medicine Physician
N2073
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00737798
—
MS
Enumeration date
06/10/2005
Last updated
09/16/2024
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