EASTERN PLAINS MEDICAL GROUP P.C. NPI 1295828218

NPI Information

EASTERN PLAINS MEDICAL GROUP, P.C. is a specialist in Roswell, NM. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. EASTERN PLAINS MEDICAL GROUP, P.C. NPI is 1295828218. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

350 W COUNTRY CLUB RD
SUITE 205
ROSWELL, NM
ZIP 88201-205
Phone: (505) 622-7593
Fax: (505) 622-5538

The provider's authorized official is Thomas C Nicholson .
The authorized official title is President and has the following contact phone number (505) 622-7593.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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