Organization
ALAMOGORDO CLINIC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BRENT ADAY MD (PRESIDENT)
(505) 437-7000
Entity
Organization
Contact information
Practice address
1410 ASPEN DRIVE, ALAMOGORDO, NM 88310
(505) 437-7000
(505) 434-6288
Mailing address
1410 ASPEN DRIVE, ALAMOGORDO, NM 88310
(505) 437-7000
(505) 434-6288
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
87-1
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q3128
—
NM
Enumeration date
09/19/2006
Last updated
08/22/2020
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