Individual
WERNER HENRY BECKERHOFF JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5410 COLIBRI PL, FARMINGTON, NM 87402-0983
(505) 564-3402
Mailing address
5410 COLIBRI PL, FARMINGTON, NM 87402-0983
(505) 564-3402
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R25684
NM
Other
Enumeration date
05/24/2005
Last updated
06/25/2008
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