Organization
DERMATOLOGY CENTER PC
Active
Organization
DERMATOLOGY CENTER PC
Active
Other names
Dermatology Center PC A new Mexico Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J SEGAL MD (PRESIDENT)
(505) 522-3636
Entity
Organization
Contact information
Practice address
2525 S TELSHOR BLVD, BUILDING 15 SUITE 200, LAS CRUCES, NM 88011-9148
(505) 522-3636
(505) 522-0722
Mailing address
2525 S TELSHOR BLVD, BUILDING 15 SUITE 200, LAS CRUCES, NM 88011-9148
(505) 522-3636
(505) 522-0722
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
95-143
NM
Other
Enumeration date
10/24/2005
Last updated
09/03/2010
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