Individual
DR. THOMAS W WULF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
607 W COUNTRY CLUB RD, ROSWELL, NM 88201-5211
(575) 208-7795
(575) 208-7785
Mailing address
607 W COUNTRY CLUB RD, ROSWELL, NM 88201-5211
(575) 208-7795
(575) 208-7785
Taxonomy
Speciality
Code
Description
License number
State
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
MD2005-0529
NM
207Q00000X
Family Medicine Physician
Primary
MD2005-0529
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42637716
—
NM
01
—
NM001H62
BCBS
NM
Enumeration date
05/18/2006
Last updated
06/23/2020
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