Cancer/blood & Medicine Clinic Llc

NPI 1124428081 - Clinic/Center - 261QX0200X

NPI Details
NPI 1124428081
Enumeration Date 08/28/2014
Last Updated 10/27/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name IKENNA IKENNA
Position MEDICAL DIRECTOR/CEO
Phone (832) 859-0100
Fax
Practice Location
2930 HILLRISE DR
SUITE 6
LAS CRUCES NM, 88011-4776, US
Phone (832) 859-0100
Fax
Business Location
3085 ECLIPSE RIDGE LN
LAS CRUCES NM, 88011-1667, US
Phone (832) 859-0100
Fax
Toxanomy
Taxonomy Code 261QX0200X
License State New Mexico
License Number 4937678
Remove 1124428081 NPI Number
 

According to our database, Cancer/blood & Medicine Clinic Llc NPI is 1124428081, taxonomy code is 261QX0200X and license number is 4937678, license state is located at New Mexico. Cancer/blood & Medicine Clinic Llc physically located at 2930 Hillrise Dr, Las Cruces NM, 88011-4776. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1124428081 NPI number is provided on an as is basis without warranty of any kind. 1124428081 is maintained by the National Plan & Provider Enumeration System. The contents of Cancer/blood & Medicine Clinic Llc are for informational purposes only.