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Individual

DR. TODD FUNKHOUSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D

Contact information

Practice address
3800 E LOHMAN AVE, SUITE A, LAS CRUCES, NM 88011-8273
(575) 522-6500
(575) 522-0591
Mailing address
3800 E LOHMAN AVE, SUITE A, LAS CRUCES, NM 88011-8273
(575) 522-6500
(575) 522-0591

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
L4382
TX
207KA0200X
Allergy Physician
MD2009-0308
NM
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
L4382
TX

Other

Enumeration date
03/01/2006
Last updated
07/01/2015
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