Individual
AUDREY EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1635 DON ROSER DR, LAS CRUCES, NM 88011-4550
(505) 522-1241
(505) 522-1497
Mailing address
1635 DON ROSER DR, LAS CRUCES, NM 88011-4550
(505) 522-1241
(505) 522-1497
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
99-192
NM
Other
Enumeration date
09/07/2006
Last updated
07/08/2007
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