Organization
RICHARD W HEMPSTEAD MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD W HEMPSTEAD MD (PRESIDENT)
(575) 532-7000
Entity
Organization
Contact information
Practice address
509 S MAIN STREET, STE B, LAS CRUCES, NM 88001-1260
(575) 525-0505
Mailing address
509 S MAIN STREET, STE B, LAS CRUCES, NM 88001-1260
(575) 532-7000
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010009295
RR MEDICARE
—
05
—
94888566
—
NM
01
—
NM001245
BCBS OF NM
NM
Enumeration date
08/23/2006
Last updated
06/22/2012
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