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Organization

PHC LAS CRUCES INC.

Active
Other names
Memorial Medical Center-Ikard Cancer Center
Organization subpart
No

Provider details

NPI number
Authorized official
SARAH WELLBORN MHA, CPC-A, CEMC (PRACTICE MANAGEMENT DIRECTOR)
(575) 521-5460
Entity
Organization

Contact information

Practice address
2450 S TELSHOR BLVD, STE E, LAS CRUCES, NM 88011-5069
(575) 556-5800
(575) 556-5899
Mailing address
PO BOX 6310, LAS CRUCES, NM 88006-6310
(575) 556-5960
(575) 556-5959

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
08/03/2010
Last updated
04/13/2016
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