Organization
MEDICAL DIAGNOSTIC SERVICES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES SPENCE MD (PRESIDENT)
(505) 325-5860
Entity
Organization
Contact information
Practice address
657A W MAPLE, FARMINGTON, NM 87401
(505) 326-5860
(505) 325-0689
Mailing address
PO BOX 614, FARMINGTON, NM 87499
(505) 326-5860
(505) 325-0689
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46094
—
NM
Enumeration date
07/31/2006
Last updated
04/23/2013
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