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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.

Location: 200 W Las Cruces Ave, Las Cruces, NM, 88047-9751
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
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
Las Cruces
State
New Mexico
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
Las Cruces
State
New Mexico
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
261Q00000X
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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