Internal Medicine Premium Health Care PC
NPI #1124406269 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1124406269
- Entity Type
- Organization
- Organization Name
- Internal Medicine Premium Health Care PC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- May 8, 2015
- Last Updated
- Oct 10, 2017
Practice Location
- Address
- 525 E LOHMAN AVE
- Address 2
- STE D
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88001-3394
- Phone
- (525) 652-4426
Authorized Official
- Name
- WENDI LASHEA GLASON DARAG, MD
- Title
- MD, OWNER
- Phone
- (575) 652-4426
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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