Individual
JAMES R MIZE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
15 MAIN ST, CLAYTON, NM 88415-3037
(575) 495-7040
Mailing address
15 MAIN ST, CLAYTON, NM 88415-3037
(575) 495-7040
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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