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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