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Organization

DJRJ3 MEDICAL SERVICES INC

Active
Other names
DJRJ2
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH M CHARLES JR. MD (OWNER)
(505) 404-9132
Entity
Organization

Contact information

Practice address
840 LOBO CANYON RD, GRANTS, NM 87020-2172
(505) 404-9132
(505) 393-1076
Mailing address
PO BOX 7191, GRANTS, NM 87020-7191
(505) 404-9132
(505) 393-1076

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD2013-0395
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10-8990
RURAL HEALTH CLINIC PROVI
FL
05
274840100
FL
05
660226600
FL
05
80574271
NM
Enumeration date
06/02/2006
Last updated
04/03/2015
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