Organization
ROSWELL HOSPITAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI EATON (PATIENT ACCOUNT MANAGER)
(575) 627-4111
Entity
Organization
Contact information
Practice address
405 W COUNTRY CLUB RD, ROSWELL, NM 88201-5209
(575) 624-4811
(575) 624-4596
Mailing address
405 W COUNTRY CLUB RD, ROSWELL, NM 88201-5209
(575) 624-4811
(575) 624-4596
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
LD-0882
—
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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