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Individual

DEBORAH JEAN HEWITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
159 MESCALERO TRL, RUIDOSO, NM 88345-6089
(505) 257-7505
(505) 257-4888
Mailing address
159B MESCALERO TRL, RUIDOSO, NM 88345-6090
(505) 257-7505
(505) 257-4888

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
92-74
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
850402108
TAX ID
NM
05
E4918
NM
Enumeration date
08/09/2006
Last updated
07/08/2007
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