Organization
FOUR CORNERS RADIATION ONCOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINH NGOC NGUYEN M.D. (OWNER)
(505) 599-6105
Entity
Organization
Contact information
Practice address
800 W MAPLE, FARMINGTON, NM 87401
(505) 599-6105
Mailing address
PO BOX 1956, FARMINGTON, NM 87499
(505) 334-0622
(505) 334-0622
Taxonomy
Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
MD2004-0204
NM
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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