Organization
FOUR CORNERS MUSCLE AND NERVE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMILLE RIVERA M.D. (OWNER/DIRECTOR)
(505) 326-7246
Entity
Organization
Contact information
Practice address
2500 FARMINGTON AVE, FARMINGTON, NM 87401-4504
(505) 326-7246
(505) 592-0063
Mailing address
2500 FARMINGTON AVE, FARMINGTON, NM 87401-4504
(505) 326-7246
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/30/2009
Last updated
08/11/2016
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