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Organization

VALLEY EMERGENCY PHYSICIANS NEW MEXICO PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN P. MARON (PRESIDENT)
(626) 447-0296
Entity
Organization

Contact information

Practice address
2100 N MLK BLVD, CLOVIS, NM 88101-9412
(575) 769-2141
Mailing address
PO BOX 10414, WESTMINSTER, CA 92685-0414
(562) 809-3519

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36435341
NM
Enumeration date
10/15/2010
Last updated
03/29/2016
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