Organization
GILA REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD W STOKES (CFO)
(575) 538-4130
Entity
Organization
Contact information
Practice address
1302 E 32ND ST, LAMONTANA PLAZA, SILVER CITY, NM 88061
(575) 534-9578
Mailing address
1313 E 32ND ST, SILVER CITY, NM 88061-7251
(575) 538-4100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208600000X
Surgery Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
01/13/2016
Last updated
06/26/2018
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