NPI Provider: 1114928298
Contact Name: Duerksen Dianne Susan
Position: Owner
Phone: (505) 532-1456
Zia Family Medicine Pc Information:
Zia Family Medicine Pc organization have npi 1114928298, taxonomy code is 207Q00000X with license number is in . This Business address located in PO Box 1560, Las Cruces, NM 88004 New Mexico.
Practice Location
Address: 4351 E Lohman Ave, Las Cruces, NM 88011
Phone: (505) 532-1456
Business Location
Address: PO Box 1560, Las Cruces, NM 88004
Phone: (505) 647-8366
Fax: (505) 647-8381
Taxonomy
Taxonomy Code: 207Q00000X
License Number:
License Number of State:
Primary Taxonomy Switch: Y
Enumeration Date: 8/10/2005
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