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Individual

DR. SRIKANTA MISHRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1405 INTERNATIONAL MALL, SPEECH BUILDING ROOM 158, LAS CRUCES, NM 88003
(575) 646-3906
(575) 646-7712
Mailing address
PO BOX 30001, MSC 3SPE, NEW MEXICO STATE UNIVERSITY, DEPARTMENT OF SPED & COMMUNICATION DISORDERS, LAS CRUCES, NM 88003-8001
(575) 646-7831
(575) 646-7712

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
5641
NM

Other

Enumeration date
10/17/2014
Last updated
10/17/2014
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