Organization
SOUTHERN NEW MEXICO MEDICAL ASSOCIATION, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA FLORES (BILLING MANAGER)
(505) 623-1442
Entity
Organization
Contact information
Practice address
303 W. COUNTRY CLUB RD, ROSWELL, NM 88201
(505) 623-1442
(505) 623-3835
Mailing address
303 W. COUNTRY CLUB RD, ROSWELL, NM 88201
(505) 623-1442
(505) 623-3835
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B4745
—
NM
Enumeration date
07/06/2006
Last updated
09/27/2007
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