Organization
FILLMORE EYE CLINIC INC, ASC
Active
Parent organization
FILLMORE EYE CLINIC INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FILLMORE EYE CLINIC INC
Authorized official
PARLEY D FILLMORE MD, PHD (PRESIDENT)
(575) 434-1200
Entity
Organization
Contact information
Practice address
1124 10TH ST, ALAMOGORDO, NM 88310-6414
(575) 434-1200
(575) 437-3947
Mailing address
1124 10TH ST, ALAMOGORDO, NM 88310-6414
(575) 434-1200
(575) 437-3947
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
6134
NM
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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