Tall Pines Medical INC

NPI #1750490017 in Ruidoso, New Mexico

Provider Information

NPI Number: 1750490017
Entity Type: Organization
Organization Name: Tall Pines Medical INC
Primary Specialty: Family Medicine
Enumeration Date: Aug 30, 2006
Last Updated: Feb 16, 2012

Practice Location

Address: 714 MECHEM DR
City: Ruidoso
State: New Mexico
ZIP Code: 88345-6905
Phone: (575) 257-4061

Authorized Official

Name: ANN SPENCE
Title: OFFICE MANAGER
Phone: (575) 257-4061

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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