Organization
PANGEA MEDICAL GLOBUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF MCWHORTER CPA (CFO)
(575) 779-1007
Entity
Organization
Contact information
Practice address
1700 N UNION AVE, ROSWELL, NM 88201-3267
(575) 208-0224
(575) 616-5626
Mailing address
PO BOX 8244, ROSWELL, NM 88202-8244
(575) 208-0224
(575) 616-5562
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD-2011-0547
NM
2084P0800X
Psychiatry Physician
Primary
MD-2011-0547
NM
Other
Enumeration date
11/01/2016
Last updated
01/10/2019
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