Clovis Dermatology PA

NPI #1396906988 in Clovis, New Mexico

Provider Information

NPI Number: 1396906988
Entity Type: Organization
Organization Name: Clovis Dermatology PA
Primary Specialty: Specialist
Enumeration Date: Jun 17, 2008
Last Updated: Jun 17, 2008

Practice Location

Address: 818 PARKLAND DR
City: Clovis
State: New Mexico
ZIP Code: 88101-4431
Phone: (575) 762-8890

Authorized Official

Name: DR. DONALD J BROWN, D.O.
Title: OWNER/PHYSICIAN
Phone: (575) 762-8890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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