Organization
DESERT MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL A CROSSLAND (OFFICE MANAGER)
(575) 393-0511
Entity
Organization
Contact information
Practice address
1801 N DAL PASO ST, HOBBS, NM 88240-3042
(575) 393-0511
(575) 393-0914
Mailing address
1801 N DAL PASO ST, HOBBS, NM 88240-3042
(575) 393-0511
(575) 393-0914
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
99-17
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83607501
—
NM
Enumeration date
07/31/2007
Last updated
01/11/2008
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