Organization
SOUTHWEST OBSTETRICS AND GYNECOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALLEN FISHER MD (OWNER)
(505) 325-4898
Entity
Organization
Contact information
Practice address
634 W PINON ST, FARMINGTON, NM 87401-5915
(505) 325-4898
(505) 325-7898
Mailing address
634 W PINON ST, FARMINGTON, NM 87401-5915
(505) 325-4898
(505) 325-7898
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD2007-0662
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12986062
—
NM
Enumeration date
10/23/2007
Last updated
03/04/2010
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