Clovis Surgery Center Nm LLC
NPI #1912512542 in Clovis, New Mexico
Provider Information
- NPI Number
- 1912512542
- Entity Type
- Organization
- Organization Name
- Clovis Surgery Center Nm LLC
- Primary Specialty
- Orthopaedic Surgery - Foot and Ankle Surgery
- Enumeration Date
- Sep 10, 2020
- Last Updated
- Sep 10, 2020
Practice Location
- Address
- 1820 W 21ST ST
- City
- Clovis
- State
- New Mexico
- ZIP Code
- 88101-4024
- Phone
- (575) 935-3668
Authorized Official
- Name
- DEVIN WAHLEN, DPM
- Title
- OWNER
- Phone
- (575) 935-3668
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery - Foot and Ankle Surgery — Foot and Ankle Surgery |
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