Premier Care Las Cruces

NPI 1003827650 - Non-Pharmacy Dispensing Site - 332900000X

NPI Details
NPI 1003827650
Enumeration Date 08/10/2006
Last Updated 11/19/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CHARLES CHARLES
Position EXECUTIVE DIRECTOR
Phone (505) 556-0101
Fax (505) 522-0808
Practice Location
STEFAN C SCHAEFER MD
2465 S TELSHOR BLVD
LAS CRUCES NM, 88011, US
Phone (505) 556-0101
Fax (505) 522-0808
Business Location
PO BOX 220
SULLIVAN MO, 63080-0220, US
Phone
Fax
Toxanomy
Taxonomy Code 332900000X
License State New Mexico
License Number CL00010409
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According to our database, Premier Care Las Cruces NPI is 1003827650, taxonomy code is 332900000X and license number is CL00010409, license state is located at New Mexico. Premier Care Las Cruces physically located at Stefan C Schaefer Md, Las Cruces NM, 88011. NPI Number 1033115704 has the healthcare provider type.

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1003827650 NPI number is provided on an as is basis without warranty of any kind. 1003827650 is maintained by the National Plan & Provider Enumeration System. The contents of Premier Care Las Cruces are for informational purposes only.