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Individual

AYYAPPA SWAMI DUBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 N MAIN AVE, LOVINGTON, NM 88260-2830
(575) 396-6611
(575) 396-1454
Mailing address
1600 NORTH MAIN, LOVINGTON, NM 88260-2830
(575) 396-6611
(575) 396-1454

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD2017-0080
NM
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/24/2012
Last updated
07/21/2022
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