Organization
FOUR CORNERS MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRVING MORALES (OWNER)
(505) 446-0695
Entity
Organization
Contact information
Practice address
620 E MAIN ST STE A, FARMINGTON, NM 87401-2749
(505) 446-0695
Mailing address
620 E MAIN ST STE A, FARMINGTON, NM 87401-2749
(505) 446-0695
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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