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PROSTATE CANCER INSTITUTE OF NEW MEXICO PC

Organization (NPI-2) Active

Provider Information

NPI Number
1619737079
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
2300 E 30TH ST STE B-106, FARMINGTON, NM, 874018991
Phone
(505) 421-3144
Fax
(505) 421-3145

Specialties & Taxonomies

Unknown Primary

All Addresses

LOCATION

2300 E 30TH ST STE B-106

FARMINGTON, NM, 874018991

(505) 421-3144

MAILING

PO BOX 15088

PHOENIX, AZ, 850605088

(505) 421-3144