institution
Four Corners Pain Management Llc
Specialist in Farmington, New Mexico
NPI 1720317365

Four Corners Pain Management Llc is a Specialist based in Farmington, NM. Four Corners Pain Management Llc practices in Farmington, NM. The NPI Number for Four Corners Pain Management Llc is 1720317365 and holds a License No. (New Mexico).

The current practice location address for Four Corners Pain Management Llc is 2500 Farmington Ave, Farmington, NM and can be reached out via phone at 505-326-7246 and via fax at 505-592-0063.

Location: 2500 Farmington Ave, Farmington, NM, 87401
institution
Provider Profile Details
NPI Number
1720317365
Provider Name
Four Corners Pain Management Llc
Credential
Provider Entity Type
Organization
Address
2500 Farmington Ave, Farmington, NM, 87401
Phone Number
505-326-7246
Fax Number
505-592-0063
Provider Enumeration Date
12/10/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DR0371 01 NM R R MEDICARE
484941 05 AZ
88586251 05 NM
61029262 05 CO
1720317365 05 UT
institution
Provider Business Practice Location Address Details
Address
2500 Farmington Ave
City
State
Zip
87401
Phone Number
505-326-7246
Fax Number
505-592-0063
person
Provider Business Mailing Address Details
Address
2500 Farmington Ave
City
State
Zip
87401
Phone Number
505-326-7246
Fax Number
505-592-0063
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
()
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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