Organization
SOUTHWEST INTERNAL MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIN HENDERSON MD (OWNER/AO)
(970) 564-8730
Entity
Organization
Contact information
Practice address
111 N PARK ST, CORTEZ, CO 81321-3340
(970) 564-8730
Mailing address
111 N PARK ST, CORTEZ, CO 81321-3340
(970) 564-8730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18627269
—
CO
05
—
798770
—
AZ
05
—
98950886
—
NM
Enumeration date
11/08/2006
Last updated
06/22/2021
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