Organization
PLACITAS MOUNTAIN MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MARC BEVERLY (OWNER)
(505) 281-5180
Entity
Organization
Contact information
Practice address
12127B HWY 14 N STE 5, CEDAR CREST, NM 87008-9499
(505) 281-5180
(505) 281-5320
Mailing address
12127B HWY 14 N STE 5, CEDAR CREST, NM 87008-9499
(505) 281-5180
(505) 281-5320
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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