Individual
DR. CONSTANCE DAPHNE WASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 S ROADRUNNER PKWY, LAS CRUCES, NM 88011-7044
(505) 556-8600
(505) 556-8700
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 437-9605
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
2001-330
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8R1581
BLUE CROSS OF TEXAS
—
05
—
L0102
—
NM
Enumeration date
06/04/2006
Last updated
11/17/2008
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