Organization
FOUR CORNERS PAIN MANAGEMENT LLC
Active
Other names
Four Corners Spine and Pain
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANIELLE W OROZCO (CLINIC MANAGER)
(505) 326-7246
Entity
Organization
Contact information
Practice address
2500 FARMINGTON AVE, FARMINGTON, NM 87401
(505) 326-7246
(505) 592-0063
Mailing address
2500 FARMINGTON AVE, FARMINGTON, NM 87401
(505) 326-7246
(505) 592-0063
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720317365
—
UT
05
—
484941
—
AZ
05
—
61029262
—
CO
05
—
88586251
—
NM
01
—
DR0371
R R MEDICARE
NM
Enumeration date
12/10/2009
Last updated
08/22/2023
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