Individual
VERNON P. GOLDSWORTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
205 W BOUTZ RD, BLDG #1, LAS CRUCES, NM 88005-3262
(575) 532-7000
Mailing address
205 W BOUTZ RD, BLDG #1, LAS CRUCES, NM 88005-3262
(575) 532-7000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
87-235
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050086495
RR MEDICARE
—
05
—
39701
—
NM
01
—
NM011816
BCBS OF NM
NM
Enumeration date
02/23/2006
Last updated
07/28/2010
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