Thoreau Clinic
NPI #1679516702 in Thoreau, New Mexico
Provider Information
- NPI Number
- 1679516702
- Entity Type
- Organization
- Organization Name
- Thoreau Clinic
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DHHS PHS NAIHS CROWNPOINT HOSPITAL
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jun 14, 2006
- Last Updated
- Oct 18, 2012
Practice Location
- Address
- 3 NAVARRE STREET
- City
- Thoreau
- State
- New Mexico
- ZIP Code
- 87323
- Phone
- (505) 862-8250
Authorized Official
- Name
- MR. ANSLEM ROANHORSE
- Title
- CEO
- Phone
- (505) 786-5291
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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