Individual
DR. RICHARD PINON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 W COUNTRY CLUB RD STE 230, ROSWELL, NM 88201-5240
(575) 622-1411
(575) 624-5630
Mailing address
300 W COUNTRY CLUB RD STE 230, ROSWELL, NM 88201-5240
(575) 622-1411
(575) 624-5630
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
98-135
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM014491
BCBS
NM
01
—
NPI & TIN
BCBS OF NM
NM
05
—
T4798
—
NM
Enumeration date
06/16/2005
Last updated
09/15/2020
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