Clovis Surgery Center LLC
NPI #1649251679 in Clovis, New Mexico
Provider Information
- NPI Number
- 1649251679
- Entity Type
- Organization
- Organization Name
- Clovis Surgery Center LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Nov 8, 2005
- Last Updated
- Apr 4, 2016
Practice Location
- Address
- 1820 W 21ST ST
- City
- Clovis
- State
- New Mexico
- ZIP Code
- 88101-4024
- Phone
- (575) 762-2207
Authorized Official
- Name
- ALBERT M KWAN, MD
- Title
- OWNER
- Phone
- (575) 762-2207
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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