institution
Clovis Brace Shop
Customized Equipment (DME) in Clovis, New Mexico
NPI 1144406257

Clovis Brace Shop is a Customized Equipment (DME) based in Clovis, NM and is specialized in Customized Equipment. Clovis Brace Shop practices in Clovis, NM. The NPI Number for Clovis Brace Shop is 1144406257 and holds a License No. (New Mexico).

The current practice location address for Clovis Brace Shop is 128 W 21St St, Clovis, NM and can be reached out via phone at 575-762-3524 and via fax at 575-762-3523. You can also correspond with Clovis Brace Shop through the mailing address at 128 W 21ST ST, CLOVIS, NM - 88101-4333 (mailing address contact number: 575-762-3524).

Location: 128 W 21St St, Clovis, NM, 88101-4333
institution
Provider Profile Details
NPI Number
1144406257
Provider Name
Clovis Brace Shop
Credential
Provider Entity Type
Organization
Address
128 W 21St St, Clovis, NM, 88101-4333
Phone Number
575-762-3524
Fax Number
575-762-3523
Provider Enumeration Date
01/18/2008
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
76877329 05 NM
NM00TB32 01 NM BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
128 W 21St St
City
State
Zip
88101-4333
Phone Number
575-762-3524
Fax Number
575-762-3523
person
Provider Business Mailing Address Details
Address
128 W 21St St
City
State
Zip
88101-4333
Phone Number
575-762-3524
Fax Number
575-762-3523
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
()
Definition
Definition to come...
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