Occupational Medicine 360
NPI #1497021257 in Las Cruces, New Mexico
Provider Information
- NPI Number
- 1497021257
- Entity Type
- Organization
- Organization Name
- Occupational Medicine 360
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Mar 27, 2012
- Last Updated
- Mar 27, 2012
Practice Location
- Address
- 2525 S. TELSHOR BLVD BLDG. 16 STE.106
- City
- Las Cruces
- State
- New Mexico
- ZIP Code
- 88011
- Phone
- (575) 496-5551
Authorized Official
- Name
- MRS. KATY LOUISE WAMEL-PETERMEIER
- Title
- OWNER
- Phone
- (575) 496-5551
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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