Organization
AMY O'NEILL D.O.M, LLC
Active
Organization
AMY O'NEILL D.O.M, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY NICHOLS O'NEILL D.O.M. (DOCTOR OF ORIENTAL MEDICINE)
(505) 527-0821
Entity
Organization
Contact information
Practice address
200 W LAS CRUCES AVE, LAS CRUCES, NM 88005-1803
(505) 496-8161
(505) 524-2059
Mailing address
275 BLUE SKY LN, MESILLA PARK, NM 88047-9751
(505) 527-0821
(505) 524-2059
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NMOORJ29
BCBS
NM
01
—
ZZ171100000X
PRES
NM
Enumeration date
10/17/2007
Last updated
10/17/2007
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