Organization
LAS CRUCES PHYSICIAN PRACTICES, LLC
Active
Other names
General Surgery Associates
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MANGUM (DIRECTOR)
(575) 521-5277
Entity
Organization
Contact information
Practice address
2530 S TELSHOR BLVD, LAS CRUCES, NM 88011-4907
(575) 521-5277
Mailing address
PO BOX 6310, LAS CRUCES, NM 88006-6310
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
03/10/2010
Last updated
03/10/2010
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