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Southwest Neurosurgery PC

Neurological Surgery in Farmington, NM. Organization (NPI-2).

NPI number1629001060
StatusActive
Last updated in NPPESOct 10, 2007

Details

NPI
1629001060
Entity type
Organization (NPI-2)
Legal business name
Southwest Neurosurgery PC
Organization subpart
No
Enumeration date
Jul 9, 2006
Last updated
Oct 10, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207T00000X Neurological Surgery––Yes

Practice location

555 S Schwartz Ave
Farmington, NM 87401-5955

Phone 505-564-8076 · Fax 505-324-2259

Mailing address

Po Box 6210
Farmington, NM 87499-6210

Phone 505-324-2258 · Fax 505-324-2259

Authorized official

Edward E Maurin
Owner
5055648073

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