Organization
GAUDENCIO PAVIA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAUDENCIO PAVIA MD (MD/OWNER)
(575) 647-8366
Entity
Organization
Contact information
Practice address
1180 MALL DR, SUITE A, LAS CRUCES, NM 88011-8101
(575) 523-4344
(575) 647-8381
Mailing address
1180 MALL DR, SUITE A, LAS CRUCES, NM 88011-8101
(575) 523-4344
(575) 647-8381
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2003-0735
NM
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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