Organization
PLACITAS MOUNTAIN MEDICAL, INC
Active
Parent organization
PLACITAS MOUNTAIN MEDICAL, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PLACITAS MOUNTAIN MEDICAL, INC.
Authorized official
JAMES MARC BEVERLY (OWNER)
(505) 281-5180
Entity
Organization
Contact information
Practice address
104 QUAIL TRL UNIT B, EDGEWOOD, NM 87015-7185
(505) 309-0455
Mailing address
12127B HWY 14 N STE 5, CEDAR CREST, NM 87008-9499
(505) 281-5180
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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