Organization · Type 2 NPI
Rejuvenation Etc.
General Practice Physician · Ruidoso, NM
NPI number
1912174046
Active
Practice location
101 Reese Dr
Ruidoso, NM 88345-6017
Fax (575) 630-3739
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 470RX2 (NM) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
About NPI 1912174046
Rejuvenation Etc.'s National Provider Identifier is 1912174046, issued on May 8, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Ruidoso, NM. The record was last updated on May 8, 2008.