Organization
ROSWELL OSTEOPATHIC MEDICAL CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEAU T BAUMANN (CEO/ADMINISTRATOR)
(575) 623-3311
Entity
Organization
Contact information
Practice address
111 W. HOBBS ST., ROSWELL, NM 88203
(575) 623-3311
(575) 622-1273
Mailing address
111 W. HOBBS ST., ROSWELL, NM 88203
(575) 623-3311
(575) 622-1273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45567
—
NM
Enumeration date
10/03/2006
Last updated
01/22/2015
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