Pecos Valley of New Mexico, LLC
NPI #1326004755 in Carlsbad, New Mexico
Provider Information
- NPI Number
- 1326004755
- Entity Type
- Organization
- Organization Name
- Pecos Valley of New Mexico, LLC
- Primary Specialty
- General Practice
- Enumeration Date
- Apr 25, 2006
- Last Updated
- Feb 25, 2008
Practice Location
- Address
- 2420 W PIERCE ST
- Address 2
- SUITE 200 B
- City
- Carlsbad
- State
- New Mexico
- ZIP Code
- 88220-3543
- Phone
- (505) 628-1589
Authorized Official
- Name
- DEBBIE T BREWER
- Title
- DIRECTOR
- Phone
- (877) 892-9813
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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