Organization
PC MARK RACE MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MARK RACE M.D. (PRESIDENT)
(575) 446-5900
Entity
Organization
Contact information
Practice address
1501 10TH ST, ALAMOGORDO, NM 88310-5044
(575) 446-5900
(575) 446-5939
Mailing address
1501 10TH ST, ALAMOGORDO, NM 88310-5044
(575) 446-5900
(575) 446-5939
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD2009-0724
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0417253
—
IA
01
—
1175
MIDLANDS
IA
Enumeration date
05/17/2006
Last updated
03/07/2011
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