Organization
INTERNAL MEDICINE PREMIUM HEALTH CARE PC
Active
Organization
INTERNAL MEDICINE PREMIUM HEALTH CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDI LASHEA GLASON DARAG MD (MD, OWNER)
(575) 652-4426
Entity
Organization
Contact information
Practice address
525 E LOHMAN AVE, STE D, LAS CRUCES, NM 88001-3394
(525) 652-4426
(525) 222-0025
Mailing address
525 E LOHMAN AVE, STE D, LAS CRUCES, NM 88001-3394
(525) 652-4426
(525) 222-0025
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2013-0836
NM
Other
Enumeration date
05/08/2015
Last updated
10/10/2017
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