Organization
PHC LAS CRUCES, INC
Active
Other names
MMC Family Medicine Center ECHO Care
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MCGONNELL (CFO)
(575) 521-5295
Entity
Organization
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(575) 521-5370
(575) 521-5376
Mailing address
PO BOX 6159, LAS CRUCES, NM 88006-6159
(575) 521-5370
(575) 521-5376
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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