Organization
MEMORIAL MEDICAL CENER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MADRID (ASST. PROGRAM COORD)
(575) 571-2214
Entity
Organization
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(575) 521-5385
Mailing address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(575) 521-5385
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RS2015-0499
NJ
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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