Organization · Type 2 NPI
Gocorona LLC
Primary Care Clinic/Center · Roswell, NM
NPI number
1417212903
Active
Practice location
304 S Lea Ave
Roswell, NM 88203-4562
Fax (575) 578-4814
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician | 208D00000X | MD2007-0650 (NM) |
| Primary Care Clinic/Center Primary | 261QP2300X | MD2007-0650 (NM) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
Other primary care clinic/center providers in Roswell
About NPI 1417212903
Gocorona LLC's National Provider Identifier is 1417212903, issued on Jul 10, 2012. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Roswell, NM. The record was last updated on Nov 20, 2018.