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-- DONNA M THIBODEAU -- MD

Individual Provider (NPI-1) Active

Internal Medicine

Provider Information

NPI Number
1053440933
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
2100 N DR MARTIN LUTHER KING JR BLVD CLOVIS PLAINS REG MED CTR, CLOVIS, NM, 881019412
Phone
(505) 769-2141
Fax
(505) 769-7337

Specialties & Taxonomies

Internal Medicine Primary License: NM #86135

All Addresses

MAILING

PO BOX 26666 PHS PROVIDER ENROLLMENT

ALBUQUERQUE, NM, 871256666

(505) 923-5356

LOCATION

2100 N DR MARTIN LUTHER KING JR BLVD CLOVIS PLAINS REG MED CTR

CLOVIS, NM, 881019412

(505) 769-2141