Southwest Regenerative Medicine LLC
NPI #1053937946 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1053937946
- Entity Type
- Organization
- Organization Name
- Southwest Regenerative Medicine LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jun 17, 2020
- Last Updated
- Aug 11, 2020
Practice Location
- Address
- 755 S TELSHOR BLVD # R101
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88011-4688
- Phone
- (575) 532-7050
Authorized Official
- Name
- JOSEPH F WILSON, D.C.-APC
- Title
- MEMBER
- Phone
- (575) 532-7050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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