| Wilbur A Tso Md Pc | |
|
211 N Auburn Ave Farmington NM 87401-8411 | |
| (505) 327-9876 | |
| (505) 326-6650 |
| Full Name | Wilbur A Tso Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 211 N Auburn Ave, Farmington, New Mexico |
| Authorized Official Name and Position | Wilbur Tso (PRESIDENT) |
| Authorized Official Contact | 5053279876 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilbur A Tso Md Pc 211 N Auburn Ave Farmington NM 87401-8411 Ph: (505) 327-9876 | Wilbur A Tso Md Pc 211 N Auburn Ave Farmington NM 87401-8411 Ph: (505) 327-9876 |
| NPI Number | 1972620557 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 07/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972620557 | NPI | - | NPPES |
| 600522369 | Other | NM | MEDICARE PTAN |
| 09811 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 81-330 (New Mexico) | Primary |
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