Organization
TAOS MEDICAL IMAGING, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORRENA L TERRELL MD (MEDICAL DIRECTOR)
(800) 462-0975
Entity
Organization
Contact information
Practice address
1397 WEIMER RD, TAOS, NM 87571-6284
(800) 462-0975
Mailing address
PO BOX 7207, LOVELAND, CO 80537-0207
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94374031
—
NM
Enumeration date
06/02/2006
Last updated
08/22/2020
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