Organization
ROYCE E. JONES & JOHN D. CALEY PTR
Active
Other names
CLOVIS ANESTHESIA and ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCUS REYES CRNA (PRESIDENT)
(573) 686-5550
Entity
Organization
Contact information
Practice address
2100 N DR MARTIN LUTHER KING JR BLVD, CLOVIS, NM 88101-9412
(573) 686-5550
(573) 686-2139
Mailing address
105 WRANGLER WAY, CLOVIS, NM 88101-9361
(573) 686-5550
(573) 686-2139
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43604
—
NM
01
—
H8887
RAILROAD MEDICARE GROUP
NM
Enumeration date
07/15/2005
Last updated
07/21/2022
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