Organization
WORKMED INC.
Active
Other names
Optimum Medical Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENITO GALLARDO JR. M.D. (MEDICAL DIRECTOR)
(575) 521-1919
Entity
Organization
Contact information
Practice address
2404 S. LOCUST, SUITE #2, LAS CRUCES, NM 88001-8627
(575) 521-1919
Mailing address
PO BOX 2278, LAS CRUCES, NM 88004-2278
(575) 521-1919
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
89-197
NM
Other
Enumeration date
03/07/2008
Last updated
03/11/2011
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