Organization
SOUTHWEST RADIOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PIERRE LANTHIEZ (MD/PRESIDENT)
(575) 532-7000
Entity
Organization
Contact information
Practice address
1901 REDROCK DR, GALLUP, NM 87301-5683
(575) 532-7000
Mailing address
205 W. BOUTZ RD. BLDG #1, LAS CRUCES, NM 88005
(575) 532-7000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49387
—
NM
01
—
CO3044
RR MEDICARE
—
Enumeration date
06/13/2006
Last updated
07/01/2009
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