institution
Gocorona Llc
Primary Care Clinic/Center in Roswell, New Mexico
NPI 1417212903

Gocorona Llc is a Primary Care Clinic/Center based in Roswell, NM and is specialized in Primary Care. Gocorona Llc practices in Roswell, NM. The NPI Number for Gocorona Llc is 1417212903 and holds a License No. MD2007-0650 (New Mexico).

The current practice location address for Gocorona Llc is 304 S Lea Ave, Roswell, NM and can be reached out via phone at 575-578-4815 and via fax at 575-578-4814.

Location: 304 S Lea Ave, Roswell, NM, 88203-4562
institution
Provider Profile Details
NPI Number
1417212903
Provider Name
Gocorona Llc
Credential
Provider Entity Type
Organization
Address
304 S Lea Ave, Roswell, NM, 88203-4562
Phone Number
575-578-4815
Fax Number
575-578-4814
Provider Enumeration Date
07/10/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11773537 05 NM
institution
Provider Business Practice Location Address Details
Address
304 S Lea Ave
City
State
Zip
88203-4562
Phone Number
575-578-4815
Fax Number
575-578-4814
person
Provider Business Mailing Address Details
Address
304 S Lea Ave
City
State
Zip
88203-4562
Phone Number
575-578-4815
Fax Number
575-578-4814
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
MD2007-0650 (New Mexico)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
MD2007-0650 (New Mexico)
Definition
Definition to come...
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