Organization
PAUL R WHITWAM MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY VAUGHN (OFFICE MANAGER)
(505) 623-1133
Entity
Organization
Contact information
Practice address
1600 SE MAIN ST STE F, ROSWELL, NM 88203-5423
(575) 623-3333
(575) 623-1161
Mailing address
1600 SE MAIN ST STE F, ROSWELL, NM 88203-5423
(575) 623-1133
(575) 623-1161
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
73-226
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23424
—
NM
Enumeration date
08/21/2006
Last updated
12/20/2007
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