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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