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Organization

RICHARD W HEMPSTEAD MD PA

Active
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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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