Organization
TAOS SPORTS MEDICINE SERVICES LLC
Active
Other names
dba Taos MRI Services
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN LUCERO (OFFICE MANAGER)
(575) 737-0304
Entity
Organization
Contact information
Practice address
1398 WEIMER RD, TAOS, NM 87571-6397
(575) 737-0304
Mailing address
1398 WEIMER RD, TAOS, NM 87571-6397
(575) 737-0304
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
NM3072
NM
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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