Organization
SPINE AND ORTHOPEDIC CENTER OF NEW MEXICO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR NIZAR OSMANI M.D. (OWNER)
(575) 623-9101
Entity
Organization
Contact information
Practice address
400 N PENNSYLVANIA AVE, SUITE 101, ROSWELL, NM 88201-4754
(575) 623-9101
(575) 623-3020
Mailing address
400 N PENNSYLVANIA AVE, SUITE 101, ROSWELL, NM 88201-4754
(575) 623-9101
(575) 623-3020
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2002-0310
NM
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
2002-0310
NM
207XS0117X
Orthopaedic Surgery of the Spine Physician
2002-0310
NM
Other
Enumeration date
06/06/2013
Last updated
01/27/2015
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