Organization · Type 2 NPI
Ruidoso Gastroenterology, P.c.
Medical Specialty Clinic/Center · Ruidoso, NM
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
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | 95-380 (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.