Organization
ORTHOPAEDIC SPORTS MEDICINE INSTITUTE
Active
Organization
ORTHOPAEDIC SPORTS MEDICINE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE J MARTINEZ (ADMINISTRATOR)
(505) 532-9755
Entity
Organization
Contact information
Practice address
4351 E LOHMAN AVE STE 200, LAS CRUCES, NM 88011-8260
(505) 532-9755
(505) 532-8881
Mailing address
4351 E LOHMAN AVE STE 200, LAS CRUCES, NM 88011-8260
(505) 532-9755
(505) 532-8881
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NM
Other
Enumeration date
07/21/2006
Last updated
08/22/2020
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