Organization
NORTHWEST MEDICAL CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DON W. HEDGES D.O. (PRESIDENT)
(505) 345-3572
Entity
Organization
Contact information
Practice address
6463 4TH ST NW, LOS RANCHOS, NM 87107-5810
(505) 345-3572
Mailing address
6463 4TH ST NW, LOS RANCHOS, NM 87107-5810
(505) 345-3572
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
A62474
NM
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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