Organization
PORTALES MEDICAL CLINIC LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID L JONES NP-C (PRACTITIONER/OWNER)
(505) 356-4643
Entity
Organization
Contact information
Practice address
320 S AVENUE A, PORTALES, NM 88130-6278
(505) 356-4643
(505) 359-6856
Mailing address
320 S AVENUE A, PORTALES, NM 88130-6278
(505) 356-4643
(505) 359-6856
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2006
Last updated
07/18/2007
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