Organization
PHC LAS CRUCES INC
Active
Other names
ID Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MANGUM (DIRECTOR)
(575) 521-5277
Entity
Organization
Contact information
Practice address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(575) 521-5277
Mailing address
2450 S TELSHOR BLVD, LAS CRUCES, NM 88011-5069
(575) 521-5277
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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