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Organization

BLUE AND RED BIRD CORPORATION, PC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALI M GHAFFARI SR. M.D (PRESIDENT)
(575) 762-6492
Entity
Organization

Contact information

Practice address
815 W 14TH ST, CLOVIS, NM 88101-5514
(575) 762-6492
(757) 935-8333
Mailing address
815 W 14TH ST, CLOVIS, NM 88101-5514
(575) 762-6492
(757) 935-8333

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
81202
NM

Other

Enumeration date
10/17/2016
Last updated
10/17/2016
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