Pms/wnmmg Grants Clinic
NPI #1922325067 in Grants, New Mexico
Provider Information
- NPI Number
- 1922325067
- Entity Type
- Organization
- Organization Name
- Pms/wnmmg Grants Clinic
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Apr 29, 2010
- Last Updated
- Apr 29, 2010
Practice Location
- Address
- 1217 BONITA ST
- City
- Grants
- State
- New Mexico
- ZIP Code
- 87020-2103
- Phone
- (505) 287-2950
Authorized Official
- Name
- MARLA MITCHELL
- Title
- ADMINISTRATOR
- Phone
- (505) 287-2950
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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