Clovis Va Outpatient Care Clinic
NPI #1245295112 in Clovis, New Mexico
Provider Information
- NPI Number
- 1245295112
- Entity Type
- Organization
- Organization Name
- Clovis Va Outpatient Care Clinic
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Apr 20, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 921 E LLANO ESTACADO BLVD
- City
- Clovis
- State
- New Mexico
- ZIP Code
- 88101-3807
- Phone
- (505) 763-4335
Authorized Official
- Name
- MR. STEVEN KOLB KINCAID, PA-C
- Title
- PHYSICIAN'S ASSISTANT
- Phone
- (505) 763-4335
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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