Organization
MICHAEL A ROWLEY MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIRONDA WALLEY (OFFICE MANAGER)
(575) 762-5955
Entity
Organization
Contact information
Practice address
2100 N MLK JR BLVD, RADIOLOGY DEPARTMENT, CLOVIS, NM 88101
(575) 769-7350
(575) 769-7296
Mailing address
PO BOX 928, CLOVIS, NM 88102-0928
(575) 762-5955
(575) 762-3909
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
80-293
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02899
—
NM
01
—
NM007F30
BLUE CROSS
NM
Enumeration date
08/27/2007
Last updated
08/06/2008
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