Individual
DR. GAUDENCIO ORTIZ PAVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1180 MALL DR, #A, LAS CRUCES, NM 88011-8101
(505) 523-4344
(505) 647-8381
Mailing address
PO BOX 1560, LAS CRUCES, NM 88004-1560
(575) 647-8366
(575) 647-8381
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2003-0735
NM
Other
Enumeration date
11/28/2006
Last updated
06/24/2008
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