Organization · Type 2 NPI

Ruidoso Gastroenterology, P.c.

Medical Specialty Clinic/Center · Ruidoso, NM

NPI number 1568627586 Active

Practice location

1701 Sudderth Dr
Ruidoso, NM 88345-6114

Fax (575) 257-3497

Mailing address

PO Box 157
Ruidoso, NM 88355-0157

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X95-380 (NM)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

2 other providers at this address

About NPI 1568627586

Ruidoso Gastroenterology, P.c.'s National Provider Identifier is 1568627586, issued on Jul 21, 2008. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Ruidoso, NM. The record was last updated on Jul 21, 2008.