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Organization

SOUTHWEST BONE AND JOINT INSTITUTE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL MCMILLAN (ADMINISTRATOR)
(575) 534-1919
Entity
Organization

Contact information

Practice address
1268 E 32ND ST, SILVER CITY, NM 88061-7229
(575) 534-1919
(575) 534-0135
Mailing address
1268 E 32ND ST, SILVER CITY, NM 88061-7229
(575) 534-1919
(575) 534-0135

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
NM98-375
NM
208100000X
Physical Medicine & Rehabilitation Physician
NM
224Z00000X
Occupational Therapy Assistant
NM
225100000X
Physical Therapist
NM
225200000X
Physical Therapy Assistant
NM
225X00000X
Occupational Therapist
NM
332B00000X
Durable Medical Equipment & Medical Supplies
NM98-375
NM
363A00000X
Physician Assistant
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
B4014
NM
Enumeration date
08/31/2006
Last updated
05/25/2017
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