Organization · Type 2 NPI
Presbyterian Healthcare Services
General Practice Physician · Corona, NM
NPI number
1912324930
Active
Practice location
471 Main St
Corona, NM 88318
Fax (575) 849-1562
Mailing address
PO Box 26666
Albuquerque, NM 87125-6666
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 3156 (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.
About NPI 1912324930
Presbyterian Healthcare Services's National Provider Identifier is 1912324930, issued on Mar 27, 2014. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Corona, NM. The record was last updated on Mar 27, 2014.