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Southwest Urology PC

Urology in Las Cruces, NM. Organization (NPI-2).

NPI number1083801740
StatusActive
Last updated in NPPESSep 26, 2007

Details

NPI
1083801740
Entity type
Organization (NPI-2)
Legal business name
Southwest Urology PC
Organization subpart
No
Enumeration date
Sep 26, 2007
Last updated
Sep 26, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology98-61NMYes

Practice location

2701 Missouri Ave Ste A
Las Cruces, NM 88011-5091

Phone 505-522-7880 · Fax 505-522-7226

Mailing address

2701 Missouri Ave Ste A
Las Cruces, NM 88011-5091

Phone 505-522-7880 · Fax 505-522-7226

Authorized official

Thomas Sherlock Gormley
Owner
5055227880

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