New Mexico Mountain Healthcare
NPI #1508021627 in San Ysidro, New Mexico
Provider Information
- NPI Number
- 1508021627
- Entity Type
- Organization
- Organization Name
- New Mexico Mountain Healthcare
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Jul 29, 2008
- Last Updated
- Jul 30, 2008
Practice Location
- Address
- 348 ST. RD. 4
- City
- San Ysidro
- State
- New Mexico
- ZIP Code
- 87053
- Phone
- (505) 404-6048
Authorized Official
- Name
- MARK G DUMAL, PHD
- Title
- CEO
- Phone
- (505) 404-6048
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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