Organization
CHARLES L SECORA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES L SECORA MD (OWNER)
(575) 445-4111
Entity
Organization
Contact information
Practice address
166 HOSPITAL DR, RATON, NM 87740-2002
(575) 445-4111
(575) 445-2666
Mailing address
166 HOSPITAL DR, RATON, NM 87740-2002
(575) 445-4111
(575) 445-2666
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
89-298
NM
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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