Organization
THE RIVERSONG CENTER OF INTEGRATIVE MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADFORD SCOTT HAIRE DO (BILLING COMPANY PRESIDENT)
(575) 534-8000
Entity
Organization
Contact information
Practice address
1210 EAST 32ND ST, SILVER CITY, NM 88061
(575) 534-8000
(575) 534-8002
Mailing address
1210 EAST 32ND ST, SILVER CITY, NM 88061
(575) 534-8000
(575) 534-8002
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
06/18/2009
Last updated
03/02/2011
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