Ruben A. Supan, LLC
NPI #1053802892 in Roswell, New Mexico
Provider Information
- NPI Number
- 1053802892
- Entity Type
- Organization
- Organization Name
- Ruben A. Supan, LLC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- May 29, 2018
- Last Updated
- Jul 6, 2021
Practice Location
- Address
- 405 W COUNTRY CLUB RD
- City
- Roswell
- State
- New Mexico
- ZIP Code
- 88201-5209
- Phone
- (575) 363-3134
Authorized Official
- Name
- MR. RUBEN SUPAN, NP
- Title
- NURSE PRACTITIONER
- Phone
- (505) 409-0831
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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