| South Sound Inpatient Physicians, Pllc | |
|
2100 N Dr Martin Luther King Jr Blvd Clovis NM 88101-9412 | |
| (575) 769-2141 | |
| Not Available |
| Full Name | South Sound Inpatient Physicians, Pllc |
|---|---|
| Speciality | Hospitalist |
| Location | 2100 N Dr Martin Luther King Jr Blvd, Clovis, New Mexico |
| Authorized Official Name and Position | James Kodjababian (CRO) |
| Authorized Official Contact | 2536821710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Sound Inpatient Physicians, Pllc 1123 Pacific Ave Tacoma WA 98402-4303 Ph: (253) 682-1710 | South Sound Inpatient Physicians, Pllc 2100 N Dr Martin Luther King Jr Blvd Clovis NM 88101-9412 Ph: (575) 769-2141 |
| NPI Number | 1417246539 |
|---|---|
| Provider Enumeration Date | 03/29/2011 |
| Last Update Date | 03/29/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417246539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
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