La Clinica Del Pueblo De Rio Arriab
NPI #1861630410 in Tierra Amarilla, New Mexico
Provider Information
- NPI Number
- 1861630410
- Entity Type
- Organization
- Organization Name
- La Clinica Del Pueblo De Rio Arriab
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LA CLINICA DEL PUEBLO DE RIO ARRIBA
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Feb 4, 2009
- Last Updated
- Feb 7, 2014
Practice Location
- Address
- U S HWY 84, COUNTY ROAD 0324, #14
- City
- Tierra Amarilla
- State
- New Mexico
- ZIP Code
- 87575-0250
- Phone
- (575) 588-7252
Authorized Official
- Name
- DARREN D DE YAPP
- Title
- EXECUTIVE DIRECTOR
- Phone
- (575) 588-7252
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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