Organization
CLOVIS MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY BEAULIEU (OFFICE MANAGER)
(575) 762-5045
Entity
Organization
Contact information
Practice address
1937 W 21ST ST, CLOVIS, NM 88101-4025
(575) 762-5045
(575) 762-5245
Mailing address
1937 W 21ST ST, CLOVIS, NM 88101-4025
(575) 762-5045
(575) 762-5245
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RR0500X
Rheumatology Physician
—
—
Other
Enumeration date
08/19/2006
Last updated
10/11/2007
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