Organization
RUIDOSO GASTROENTEROLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS VICTOR WORTHINGTON M.D. (PRESIDENT)
(575) 257-7600
Entity
Organization
Contact information
Practice address
1701 SUDDERTH DR, RUIDOSO, NM 88345-6114
(575) 257-7600
(575) 257-3497
Mailing address
PO BOX 157, RUIDOSO, NM 88355-0157
(575) 257-7600
(575) 257-3497
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
95-380
NM
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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