Organization
SIEVERS SPORTS MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL WILLIAM SIEVERS M.D. (PRESIDENT/DIRECTOR)
(575) 226-3023
Entity
Organization
Contact information
Practice address
304 S MAIN AVE, PORTALES, NM 88130-6218
(575) 226-3023
(575) 226-3024
Mailing address
PO BOX 55, PORTALES, NM 88130-0055
(575) 226-3023
(575) 226-3024
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2002-0109
NM
Other
Enumeration date
10/22/2007
Last updated
03/12/2008
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