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ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT

Family Medicine Physician

NPI: 1093801292Organization

Specialties, Licenses & Credentials

Registered Dietitian

Dietitian, Registered

Code: 133V00000X

072(NM)
Pain Medicine Physician

Pain Medicine — Pain Medicine

Code: 208VP0000X

MD2004-0760(NM)
Surgery Physician

Surgery

Code: 208600000X

MD2004-0707(NM)
Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

PA2004-0028(NM)MD2010-0626(NM)87-277(NM)CNP-01941(NM)MD2010-0558(NM)A-1584-10(NM)CNP00289(NM)MD2011-0222(NM)

Contact & Hours

Address
42121 US HWY 70
PORTALES, NM 88130

Quick Facts

NPI
1093801292
Entity Type
Organization
Medicare
Not confirmed
Specialties
11
Locations
1

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