Organization
SOUTHWEST BONE AND JOINT INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MCMILLAN (ADMINSTRATOR)
(575) 534-1919
Entity
Organization
Contact information
Practice address
721 E HOLLY ST, DEMING, NM 88030-5245
(575) 546-3604
(575) 546-3873
Mailing address
1268 E 32ND ST, SILVER CITY, NM 88061-7229
(575) 534-1919
(575) 534-0135
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
NM98-375
NM
332B00000X
Durable Medical Equipment & Medical Supplies
NM98-375
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B4014
—
NM
Enumeration date
06/18/2013
Last updated
06/18/2013
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