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Southewesnt Ob/gyn
Specialist in Farmington, New Mexico
NPI 1518123611

Southewesnt Ob/gyn is a Specialist based in Farmington, NM. Southewesnt Ob/gyn practices in Farmington, NM. The NPI Number for Southewesnt Ob/gyn is 1518123611 and holds a License No. 680659818 (New Mexico).

The current practice location address for Southewesnt Ob/gyn is 622 W Maple St Ste I, Farmington, NM and can be reached out via phone at 505-325-4898 and via fax at 505-325-7898. You can also correspond with Southewesnt Ob/gyn through the mailing address at 622 W MAPLE ST STE I, FARMINGTON, NM - 87401-6589 (mailing address contact number: 505-325-4898).

Location: 622 W Maple St Ste I, Farmington, NM, 87401-6589
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518123611
Provider Name
Southewesnt Ob/gyn
Credential
Provider Entity Type
Organization
Address
622 W Maple St Ste I, Farmington, NM, 87401-6589
Phone Number
505-325-4898
Fax Number
505-325-7898
Provider Enumeration Date
07/29/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12986062 05 NM
institution
Provider Business Practice Location Address Details
Address
622 W Maple St Ste I
City
Farmington
State
New Mexico
Zip
87401-6589
Phone Number
505-325-4898
Fax Number
505-325-7898
person
Provider Business Mailing Address Details
Address
622 W Maple St Ste I
City
Farmington
State
New Mexico
Zip
87401-6589
Phone Number
505-325-4898
Fax Number
505-325-7898
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
680659818 (New Mexico)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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