| Southwest Family Medicine, Pc | |
|
1318 E 32nd St Fl 1 Silver City NM 88061-7252 | |
| (505) 388-5170 | |
| (505) 388-5176 |
| Full Name | Southwest Family Medicine, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1318 E 32nd St, Silver City, New Mexico |
| Authorized Official Name and Position | John M Stanley (OWNER) |
| Authorized Official Contact | 5053885170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Family Medicine, Pc 1318 E 32nd St Fl 1 Silver City NM 88061-7252 Ph: (505) 388-5170 | Southwest Family Medicine, Pc 1318 E 32nd St Fl 1 Silver City NM 88061-7252 Ph: (505) 388-5170 |
| NPI Number | 1053316208 |
|---|---|
| Provider Enumeration Date | 06/15/2005 |
| Last Update Date | 05/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053316208 | NPI | - | NPPES |
| F7238 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A-1194-02 (New Mexico) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (New Mexico) | Secondary |
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