South Sound Inpatient Physicians, Pllc

NPI #1417246539 in Clovis, New Mexico

Provider Information

NPI Number: 1417246539
Entity Type: Organization
Organization Name: South Sound Inpatient Physicians, Pllc
Primary Specialty: Hospitalist
Enumeration Date: Mar 29, 2011
Last Updated: Mar 29, 2011

Practice Location

Address: 2100 N DR MARTIN LUTHER KING JR BLVD
City: Clovis
State: New Mexico
ZIP Code: 88101-9412
Phone: (575) 769-2141

Authorized Official

Name: JAMES KODJABABIAN
Title: CRO
Phone: (253) 682-1710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X
Hospitalist	208M00000X	Primary

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