Individual
DR. PAUL NELSON VILBAR DAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(575) 521-5385
Mailing address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RS2023-0378
NM
390200000X
Student in an Organized Health Care Education/Training Program
RS2023-0378
NM
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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