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Organization

RIVERS IN THE DESERT EYE CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BOBBIE DELABARCENA (OFFICE MANAGER)
(505) 326-0552
Entity
Organization

Contact information

Practice address
306 S LAKE ST, FARMINGTON, NM 87401-5620
(505) 326-0552
(505) 326-0552
Mailing address
306 S LAKE ST, FARMINGTON, NM 87401-5620
(505) 326-0552
(505) 326-0552

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
NM399
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
P0001343
NM
Enumeration date
02/13/2012
Last updated
02/13/2012
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