INTEGRATIVE MEDICAL CENTER OF NEW MEXICOPC NPI 1346319076

NPI Information

INTEGRATIVE MEDICAL CENTER OF NEW MEXICO,PC is a general practice in Las Cruces, NM. INTEGRATIVE MEDICAL CENTER OF NEW MEXICO,PC NPI is 1346319076. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1155 COMMERCE DR STE C
LAS CRUCES, NM
ZIP 88011-257
Phone: (575) 524-3720
Fax: (575) 524-3721

The provider's authorized official is Ann Berkson .
The authorized official title is Office Manager and has the following contact phone number (575) 524-3720.

The CLIA number assigned to this NPI record is 32D0934532 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/7/2006 and was last updated on 2/17/2011.

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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