Organization
RELIANCE MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES L HOLGATE (VICE PRESIDENT)
(505) 566-1915
Entity
Organization
Contact information
Practice address
3451 N BUTLER AVE, FARMINGTON, NM 87401
(505) 566-1915
(505) 566-1918
Mailing address
3451 N BUTLER AVE, FARMINGTON, NM 87401-2357
(505) 566-1915
(505) 566-1918
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27856721
—
NM
Enumeration date
09/16/2006
Last updated
05/19/2015
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