Organization
ALBERT M KWAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT M KWAN MD (OWNER)
(575) 762-2207
Entity
Organization
Contact information
Practice address
1820 W 21ST ST, CLOVIS, NM 88101-4024
(575) 762-2207
(575) 762-7108
Mailing address
1820 W 21ST ST, CLOVIS, NM 88101-4024
(575) 762-2207
(575) 762-7108
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
89-340
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10585
—
NM
Enumeration date
11/15/2007
Last updated
02/06/2008
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