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421 S Ave C Ste D Portales NM 88130-6328 | |
(575) 226-2273 | |
(575) 226-2378 |
Full Name | |
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Speciality | Family Medicine |
Location | 421 S Ave C, Portales, New Mexico |
Authorized Official Name and Position | Bert W Wofford (PRINCIPAL) |
Authorized Official Contact | 5752262273 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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205 W Boutz Rd Bldg 1 Las Cruces NM 88005-3259 Ph: (575) 532-7000 | 421 S Ave C Ste D Portales NM 88130-6328 Ph: (575) 226-2273 |
NPI Number | 1669780904 |
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Provider Enumeration Date | 09/21/2010 |
Last Update Date | 09/22/2010 |
Identifier | Type | State | Issuer |
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1669780904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Eastern Medical Associates Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42121 Us Hwy 70, Portales, NM 88130 Phone: 575-356-6652 Fax: 575-359-6827 | |
Sievers Sports Medicine Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 304 S Main Ave, Portales, NM 88130 Phone: 575-226-3023 Fax: 575-226-3024 | |
Portales Medical Clinic Limited Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 320 S Avenue A, Portales, NM 88130 Phone: 505-356-4643 Fax: 505-359-6856 | |