Organization
T OR C EYE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN B ANDERSON MD (OWNER)
(575) 805-5574
Entity
Organization
Contact information
Practice address
518 N DATE STREET, TRUTH OR CONSEQUENCES, NM 87901-2346
(575) 894-7811
Mailing address
518 N DATE STREET, TRUTH OR CONSEQUENCES, NM 87901-2346
(575) 894-7811
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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