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Individual

DR. FRANK J DIMOTTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
208 PORR DR, RUIDOSO, NM 88345-6713
(575) 630-1214
(575) 630-2083
Mailing address
303 W COUNTRY CLUB RD, ROSWELL, NM 88201-5892
(575) 623-1442
(575) 623-3835

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2000-25
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
72884
NM
Enumeration date
02/21/2006
Last updated
10/29/2012
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