Organization
CLOVIS SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEVIN WAHLEN DPM (OWNER)
(575) 935-3668
Entity
Organization
Contact information
Practice address
1820 W 21ST ST, CLOVIS, NM 88101-4024
(575) 935-3668
Mailing address
1820 W 21ST ST, CLOVIS, NM 88101-4024
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2021
Last updated
09/24/2021
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