Organization
UNION MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GONZALO CORONA-GONZALEZ M.D. (PHYSICAN)
(575) 578-4815
Entity
Organization
Contact information
Practice address
207 N UNION AVE STE H, ROSWELL, NM 88201-3068
(575) 578-4815
Mailing address
207 N UNION AVE STE H, ROSWELL, NM 88201-3068
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD2007-0650
NM
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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