Organization
SOUTHWEST UROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS SHERLOCK GORMLEY MD (OWNER)
(505) 522-7880
Entity
Organization
Contact information
Practice address
2701 MISSOURI AVE STE A, LAS CRUCES, NM 88011-5091
(505) 522-7880
(505) 522-7226
Mailing address
2701 MISSOURI AVE STE A, LAS CRUCES, NM 88011-5091
(505) 522-7880
(505) 522-7226
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
98-61
NM
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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