Organization
RUSTIC HEALTH PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JOHN DONAVAN (OWNER)
(575) 489-8993
Entity
Organization
Contact information
Practice address
1301 CUBA AVE, ALAMOGORDO, NM 88310-5727
(575) 489-8993
(575) 205-0274
Mailing address
1301 CUBA AVE, ALAMOGORDO, NM 88310-5727
(575) 489-8993
(575) 205-0274
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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