institution
Amy O'neill D.o.m, Llc
Clinic/Center in Las Cruces, New Mexico
NPI 1699964460

Amy O'neill D.o.m, Llc is a Clinic/Center based in Mesilla Park, NM. Amy O'neill D.o.m, Llc practices in Las Cruces, NM. The NPI Number for Amy O'neill D.o.m, Llc is 1699964460 and holds a License No. (New Mexico).

The current practice location address for Amy O'neill D.o.m, Llc is 200 W Las Cruces Ave, Las Cruces, NM and can be reached out via phone at 505-496-8161 and via fax at 505-524-2059. You can also correspond with Amy O'neill D.o.m, Llc through the mailing address at 275 BLUE SKY LN, MESILLA PARK, NM - 88047-9751 (mailing address contact number: 505-527-0821).

Location: 200 W Las Cruces Ave, Las Cruces, NM, 88047-9751
institution
Provider Profile Details
NPI Number
1699964460
Provider Name
Amy O'neill D.o.m, Llc
Credential
Provider Entity Type
Organization
Address
200 W Las Cruces Ave, Las Cruces, NM, 88047-9751
Phone Number
505-496-8161
Fax Number
505-524-2059
Provider Enumeration Date
10/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NMOORJ29 01 NM BCBS
ZZ171100000X 01 NM PRES
institution
Provider Business Practice Location Address Details
Address
200 W Las Cruces Ave
City
State
Zip
88005-1803
Phone Number
505-496-8161
Fax Number
505-524-2059
person
Provider Business Mailing Address Details
Address
200 W Las Cruces Ave
City
State
Zip
88005-1803
Phone Number
505-496-8161
Fax Number
505-524-2059
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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