Taos Sports Medicine Srvs LLC
NPI #1225069230 in Taos, New Mexico
Provider Information
- NPI Number
- 1225069230
- Entity Type
- Organization
- Organization Name
- Taos Sports Medicine Srvs LLC
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Jul 6, 2006
- Last Updated
- Oct 16, 2007
Practice Location
- Address
- 1398 WEIMER RD
- Address 2
- STE 203
- City
- Taos
- State
- New Mexico
- ZIP Code
- 87571
- Phone
- (505) 737-0304
Authorized Official
- Name
- JOCELYN LUCERO
- Title
- OFFICE MANAGER
- Phone
- (505) 737-0304
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
| Physical Medicine & Rehabilitation |
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