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Individual

DR. THOMAS W. STRAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1235 8TH ST, LAS VEGAS, NM 87701-4219
(505) 425-6788
(505) 425-5408
Mailing address
PO BOX 158, 538 N. PASEO DE ONATE, ESPANOLA, NM 87532-0158
(505) 753-7218
(505) 753-5815

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
308106
LA
207Q00000X
Family Medicine Physician
87158
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000R6753
NM
Enumeration date
03/09/2007
Last updated
03/15/2018
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