Individual
DOUGLAS E CHEEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1923 N DAL PASO ST, SUITE A, HOBBS, NM 88240-3023
(575) 433-3000
(575) 396-1454
Mailing address
1600 NORTH MAIN, LOVINGTON, NM 88260-2830
(575) 396-6611
(575) 396-1454
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1352
OK
363A00000X
Physician Assistant
Primary
PA2017-0005
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200038890A
—
OK
Enumeration date
06/08/2005
Last updated
03/28/2017
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