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Individual

BALDOMERO P GARCIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3003 HILLRISE DR, SUITE A, LAS CRUCES, NM 88011-4897
(575) 521-7550
(575) 521-7617
Mailing address
3003 HILLRISE DR, SUITE A, LAS CRUCES, NM 88011-4897
(575) 521-7550
(575) 521-7617

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
81-197
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00021170
NM
01
001001
BCBS
NM
Enumeration date
05/11/2006
Last updated
07/29/2014
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