Individual
DR. CHARLES EUGENE HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1424 DEBORAH RD SE, SUITE # 101, RIO RANCHO, NM 87124-1058
(505) 896-0928
(505) 896-0585
Mailing address
PO BOX 1035, CORRALES, NM 87048-1035
(505) 899-1441
(505) 896-0580
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
93-69
NM
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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