County Line Medical Service INC

NPI #1538199773 in Chaparral, New Mexico

Provider Information

NPI Number
1538199773
Entity Type
Organization
Organization Name
County Line Medical Service INC
Primary Specialty
Family Medicine
Enumeration Date
Jul 4, 2006
Last Updated
Dec 10, 2013

Practice Location

Address
545 S COUNTY LINE DR SPC A
ZIP Code
88081-7802
Phone
(575) 824-5007

Authorized Official

Name
KYONG YOL KO, MD
Title
MD / PRESIDENT
Phone
(575) 824-5007

Specialties & Taxonomy Codes

Specialty
Family Medicine

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