Organization
TULAROSA BASIN DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER L. TONCRAY D.O. (PRESIDENT)
(505) 437-6700
Entity
Organization
Contact information
Practice address
1212 9TH ST, SUITE A, ALAMOGORDO, NM 88310-5842
(505) 437-6700
(505) 437-6644
Mailing address
1212 9TH ST, SUITE A, ALAMOGORDO, NM 88310-5842
(505) 437-6700
(505) 437-6644
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A115701
NM
Other
Enumeration date
04/11/2007
Last updated
08/22/2020
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