Individual
RICHARD ALLEN MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
113 E COLLEGE BLVD, ROSWELL, NM 88201-5158
(575) 622-6500
(575) 622-9777
Mailing address
113 E COLLEGE BLVD, ROSWELL, NM 88201-5158
(575) 622-4922
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2870
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98238370
—
NM
Enumeration date
02/09/2006
Last updated
09/05/2012
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