Immedicare Care Clinic PC

NPI #1942292149 in Ruidoso, New Mexico

Provider Information

NPI Number: 1942292149
Entity Type: Organization
Organization Name: Immedicare Care Clinic PC
Primary Specialty: Family Medicine
Enumeration Date: Aug 16, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 721 MECHEM DR
Address 2: SIERRA MALL
City: Ruidoso
State: New Mexico
ZIP Code: 88345-6911
Phone: (505) 630-5300

Authorized Official

Name: MARILYN NISHITANI, FNP
Title: OWNER
Phone: (505) 630-5300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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