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Organization

RATON FAMILY MEDICINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELONY AVILA (OFFICE MANAGER)
(505) 400-8529
Entity
Organization

Contact information

Practice address
190 HOSPITAL DR, RATON, NM 87740-2002
(575) 445-5563
(505) 445-0285
Mailing address
190 HOSPITAL DR, RATON, NM 87740-2002
(575) 445-5563
(505) 445-0285

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
09/27/2022
Last updated
09/28/2022
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