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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