ANITA M. ROYBAL FAMILY AND PREVENTIVE HEALTH LLC NPI 1558665893

NPI Information

ANITA M. ROYBAL FAMILY AND PREVENTIVE HEALTH, LLC is a primary care clinic center in Rio Rancho, NM. ANITA M. ROYBAL FAMILY AND PREVENTIVE HEALTH, LLC NPI is 1558665893. The provider is registered as an organization entity type.

The provider's business location address is:

1316 JACKIE RD SE STE 400
SUITE 201
RIO RANCHO, NM
ZIP 87124-045
Phone: (505) 234-1612
Fax: (505) 234-1618

The provider's authorized official is Anita M Roybal .
The authorized official title is M.d. and has the following contact phone number (505) 234-1612.

The enumeration date for this NPI number is 12/30/2010 and was last updated on 7/27/2016.

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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