Wofford Medical Practice LLC
NPI #1669780904 in Portales, New Mexico
Provider Information
- NPI Number
- 1669780904
- Entity Type
- Organization
- Organization Name
- Wofford Medical Practice LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 21, 2010
- Last Updated
- Sep 22, 2010
Practice Location
- Address
- 421 S AVE C
- Address 2
- STE D
- City
- Portales
- State
- New Mexico
- ZIP Code
- 88130-6328
- Phone
- (575) 226-2273
Authorized Official
- Name
- BERT W WOFFORD, MD
- Title
- PRINCIPAL
- Phone
- (575) 226-2273
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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