Organization
EDUARDO A CASTREJON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDUARDO ARTURO CASTREJON M.D. (SOLO PROPIETOR)
(505) 524-9119
Entity
Organization
Contact information
Practice address
1205 S SOLANO DR, LAS CRUCES, NM 88001-3755
(505) 524-9119
(505) 525-1889
Mailing address
1205 S SOLANO DR, LAS CRUCES, NM 88001-3755
(505) 524-9119
(505) 525-1889
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NM82-19
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0505
BCBS
NM
05
—
201001583
—
NM
05
—
85044261
—
NM
05
—
8656
—
NM
Enumeration date
07/11/2006
Last updated
12/08/2009
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