Organization
ELITE MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARNIE P RODRIGUEZ PA (OWNER)
(575) 623-1303
Entity
Organization
Contact information
Practice address
1700 N UNION AVE, ROSWELL, NM 88201-3267
(575) 623-1303
(575) 622-1903
Mailing address
PO BOX 1974, ROSWELL, NM 88202-1974
(575) 623-1303
(575) 622-1903
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
93-PA21
NM
Other
Enumeration date
08/31/2012
Last updated
10/24/2019
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