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Organization

PECOS VALLEY EYE SURGERY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DAWN K GERENCER RN, BSN, CNOR, CASC (DIRECTOR OF AMBULATORY SURGICAL SER)
(505) 768-1333
Entity
Organization

Contact information

Practice address
1610 SE MAIN STREET, ROSWELL, NM 88203
(505) 768-1333
(505) 244-9566
Mailing address
8801 HORIZON BLVD NE STE 360, ALBUQUERQUE, NM 87113-1563
(505) 768-1333

Taxonomy

Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary

Other

Enumeration date
10/23/2017
Last updated
06/11/2019
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