Organization
ROSWELL EAR, NOSE & THROAT & ALLERGY L. L. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN D. HOBBS M.D. (OWNER)
(575) 622-2911
Entity
Organization
Contact information
Practice address
342 SHERRILL LN STE A, ROSWELL, NM 88201-5831
(575) 622-2911
(575) 622-2598
Mailing address
342 SHERRILL LN STE A, ROSWELL, NM 88201-5831
(575) 622-2911
(575) 622-2598
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CS00208445
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90859561
MEDICAID
NM
01
—
NM009D18
BCBS OF NEW MEXICO
NM
Enumeration date
11/06/2007
Last updated
11/27/2007
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