Organization
VAN R WARREN DOM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH BLATCHFORD (OFFICE MANAGER)
(575) 627-7109
Entity
Organization
Contact information
Practice address
400 N. PENNSYLVANIA, ROSWELL, NM 88201
(575) 627-7109
(575) 627-8439
Mailing address
PO BOX 3112, ROSWELL, NM 88202
(575) 627-7109
(575) 627-8439
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
06/28/2006
Last updated
10/30/2007
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