Organization
PEARSON HEART CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARENCE E PEARSON, MD (OWNER)
(575) 625-8452
Entity
Organization
Contact information
Practice address
313 W COUNTRY CLUB RD, ROSWELL, NM 88201-5804
(575) 625-8430
Mailing address
1621 N WASHINGTON AVE, ROSWELL, NM 88201-3272
(575) 625-8430
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2003-0352
NM
Other
Enumeration date
02/26/2014
Last updated
06/20/2018
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