Eastern New Mexico Physicians and Surgeons LLC
NPI #1114977675 in Clovis, New Mexico
Provider Information
- NPI Number
- 1114977675
- Entity Type
- Organization
- Organization Name
- Eastern New Mexico Physicians and Surgeons LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- May 12, 2006
- Last Updated
- May 12, 2008
Practice Location
- Address
- 2425 W 21ST STREET
- City
- Clovis
- State
- New Mexico
- ZIP Code
- 88101
- Phone
- (505) 763-9800
Authorized Official
- Name
- LONNIE J RAY
- Title
- PRACTICE ADMINISTRATOR
- Phone
- (505) 763-9800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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