Organization
SCOR PC
Active
Organization
SCOR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY ROEHLK (PRACTICE ADMINISTRATOR)
(575) 622-7600
Entity
Organization
Contact information
Practice address
115 E 19TH ST, ROSWELL, NM 88201-5151
(575) 622-7600
(575) 622-3856
Mailing address
115 E 19TH ST, ROSWELL, NM 88201-5151
(575) 622-7600
(575) 622-3856
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
06/29/2006
Last updated
10/22/2015
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