Individual
DR. DAVID HOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 E 30TH ST STE C2, FARMINGTON, NM 87401-8991
(505) 324-1000
(505) 324-1199
Mailing address
2300 E 30TH ST STE C2, FARMINGTON, NM 87401-8991
(505) 324-1000
(505) 324-1199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2016-0229
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45938202
—
NM
Enumeration date
05/31/2005
Last updated
04/30/2019
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