Organization
TAOS ORTHOPEDIC CLINIC INC
Active
Other names
northside orthopedic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT VICTOR RACHELSON M.D. (PRESIDENT)
(505) 332-8351
Entity
Organization
Contact information
Practice address
1399 WEIMER RD, TAOS, NM 87571-6340
(505) 332-8351
(505) 332-8351
Mailing address
1399 WEIMER RD, TAOS, NM 87571-6340
(505) 332-8351
(505) 332-8351
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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