Organization
JAMES F. VAN PELT,III,M.D.,PHD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES F VAN PELT III M. D., PHD (PRESIDENT/MEDICAL NEUROLOGY)
(575) 622-0816
Entity
Organization
Contact information
Practice address
313 W COUNTRY CLUB RD, STE. 10, ROSWELL, NM 88201-5804
(575) 622-0816
(575) 623-6838
Mailing address
313 W COUNTRY CLUB RD, STE. 10, ROSWELL, NM 88201-5804
(575) 622-0816
(575) 623-6838
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
91 338
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31403531
—
NM
01
—
NM002889
BCBSNM
NM
Enumeration date
06/10/2008
Last updated
09/25/2008
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