Organization
VICTOR A. NWACHUKU, M.D., PC
Active
Organization
VICTOR A. NWACHUKU, M.D., PC
Active
Other names
Cassie Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTINE MUNOZ (PRACTICE MANAGER)
(575) 388-1561
Entity
Organization
Contact information
Practice address
1618 EAST PINE STREET, SILVER CITY, NM 88061-1260
(575) 388-1561
(575) 388-9952
Mailing address
1618 E PINE ST, SILVER CITY, NM 88061-7155
(575) 388-1561
(575) 388-9952
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207VX0000X
Obstetrics Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000B5081
—
NM
Enumeration date
03/15/2007
Last updated
02/09/2023
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