Organization
PECOS VALLEY WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN WAYNE MUHR PA (OWNER/PROVIDER)
(575) 291-9814
Entity
Organization
Contact information
Practice address
401 N UNION AVE, ROSWELL, NM 88201-3948
(575) 291-9814
(575) 587-3987
Mailing address
401 N UNION AVE, ROSWELL, NM 88201-3948
(575) 291-9814
(575) 587-3987
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
PA2009-0030
NM
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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