| NPI Details | |
|---|---|
| NPI | 1164475208 |
| Enumeration Date | 05/18/2006 |
| Last Updated | 05/08/2008 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | LAURIE DENISE LAURIE |
| Position | DIRECTOR |
| Phone | (505) 521-4188 |
| Fax | (505) 521-3668 |
| Practice Location | |
|---|---|
| 2404 S LOCUST ST STE 5 LAS CRUCES NM, 88001-5789, US |
|
| Phone | (505) 521-4188 |
| Fax | (505) 521-3668 |
| Business Location | |
|---|---|
| 2404 S LOCUST ST STE 5 LAS CRUCES NM, 88001-5789, US |
|
| Phone | (505) 521-4188 |
| Fax | (505) 521-3668 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 225100000X |
| License State | |
| License Number | |
| Remove 1164475208 NPI Number | |
According to our database, Southwest Sport And Spine Center Inc NPI is 1164475208, taxonomy code is 225100000X Southwest Sport And Spine Center Inc physically located at 2404 S Locust St, Las Cruces NM, 88001-5789. NPI Number 1033115704 has the healthcare provider type.
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1164475208 NPI number is provided on an as is basis without warranty of any kind. 1164475208 is maintained by the National Plan & Provider Enumeration System. The contents of Southwest Sport And Spine Center Inc are for informational purposes only.
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