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Individual

LUTHER BASEL WEATHERS III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
702 N 13TH ST, ARTESIA, NM 88210-1199
(575) 748-3333
Mailing address
2233 E MAIN ST, MONTROSE, CO 81401-3831
(970) 765-0818
(970) 497-8410

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
20020268
NM
207RC0000X
Cardiovascular Disease Physician
Primary
DR.0056382
CO
207RC0000X
Cardiovascular Disease Physician
J2409
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000W1015
NM
05
138693016
TX
Enumeration date
04/11/2006
Last updated
07/02/2024
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