Blue and Red Bird Corporation, Pc.
NPI #1124579958 in Clovis, New Mexico
Provider Information
- NPI Number
- 1124579958
- Entity Type
- Organization
- Organization Name
- Blue and Red Bird Corporation, Pc.
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Oct 17, 2016
- Last Updated
- Oct 17, 2016
Practice Location
- Address
- 815 W 14TH ST
- City
- Clovis
- State
- New Mexico
- ZIP Code
- 88101-5514
- Phone
- (575) 762-6492
Authorized Official
- Name
- ALI M GHAFFARI SR., M.D
- Title
- PRESIDENT
- Phone
- (575) 762-6492
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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