Organization
DIGESTIVE DISEASE CONSULTANTS OF LAS CRUCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS V NATTAKOM MD (CEO)
(575) 522-7697
Entity
Organization
Contact information
Practice address
4381 E LOHMAN AVE STE B, LAS CRUCES, NM 88011-8255
(575) 522-7697
Mailing address
4381 E LOHMAN AVE STE B, LAS CRUCES, NM 88011-8255
(575) 522-7697
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
792
NM
Other
Enumeration date
05/24/2006
Last updated
09/22/2011
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