Organization
FOUR CORNERS NEPHROLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILLIE STOLWORTHY (OFFICE MANAGER)
(505) 326-6521
Entity
Organization
Contact information
Practice address
1902 E 2ND AVE, DURANGO, CO 81301-5021
(505) 326-6521
(505) 325-6699
Mailing address
312 S LAKE ST, FARMINGTON, NM 87401-5620
(505) 326-6521
(505) 325-6699
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
07/22/2008
Last updated
03/19/2020
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