Organization
ISPM - NEW MEXICO LLC
Active
Other names
Interventional Spine and Pain Mgmt.
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT LYNN BUTZ MD (OWNER/PRESIDENT)
(415) 987-4921
Entity
Organization
Contact information
Practice address
2474 INDIAN WELLS RD., ALAMOGORDO, NM 88310-8700
(415) 987-4921
(575) 437-0358
Mailing address
127 RALEY BLVD., CHICO, CA 95928-8347
(530) 720-0176
(530) 636-4517
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD2009-0017
NM
Other
Enumeration date
03/12/2009
Last updated
03/11/2021
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