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Individual

DR. ROGER ALLEN BEECHIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
129 EL PASO RD, RUIDOSO, NM 88345
(575) 630-8350
(575) 257-4055
Mailing address
129 EL PASO RD., RUIDOSO, NM 88345
(575) 630-8350
(575) 557-4055

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
76-132
NM
208D00000X
General Practice Physician
Primary
76-132
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00002808
NM
05
2808
NM
Enumeration date
05/12/2006
Last updated
01/12/2010
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