| James F. Van Pelt,iii,m.d.,phd, P.c. | |
|
313 W Country Club Rd Ste. 10 Roswell NM 88201-5804 | |
| (575) 622-0816 | |
| (575) 623-6838 |
| Full Name | James F. Van Pelt,iii,m.d.,phd, P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 313 W Country Club Rd, Roswell, New Mexico |
| Authorized Official Name and Position | James F Van Pelt (PRESIDENT/MEDICAL NEUROLOGY) |
| Authorized Official Contact | 5756220816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James F. Van Pelt,iii,m.d.,phd, P.c. 313 W Country Club Rd Ste. 10 Roswell NM 88201-5804 Ph: (575) 622-0816 | James F. Van Pelt,iii,m.d.,phd, P.c. 313 W Country Club Rd Ste. 10 Roswell NM 88201-5804 Ph: (575) 622-0816 |
| NPI Number | 1639339955 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 09/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639339955 | NPI | - | NPPES |
| 31403531 | Medicaid | NM | |
| NM002889 | Other | NM | BCBSNM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 91 338 (New Mexico) | Primary |
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