ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT

Family Medicine

Active Organization
NPI: 1093801292

Practice Address

42121 US HWY 70
Portales, NM 88130

Phone: (575) 356-6652

Specialties

Specialty Code Primary License
Dietitian, Registered 133V00000X No 072 (NM)
Pain Medicine - Pain Medicine 208VP0000X No MD2004-0760 (NM)
Surgery 208600000X No MD2004-0707 (NM)
Family Medicine 207Q00000X Yes MD2011-0222 (NM)

Frequently Asked Questions

NPI 1093801292 is the National Provider Identifier for ROOSEVELT COUNTY SPECIAL HOSPITAL DISTRICT, a Family Medicine provider located in Portales, NM. This NPI was enumerated on October 5, 2006.

Quick Facts

NPI
1093801292
Type
Organization
Enumerated
Oct 5, 2006
Last Updated
Oct 29, 2012

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