| Id Consultants | |
|
2450 S Telshor Blvd Las Cruces NM 88011-5069 | |
| (575) 521-5277 | |
| Not Available |
| Full Name | Id Consultants |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 2450 S Telshor Blvd, Las Cruces, New Mexico |
| Authorized Official Name and Position | Angie Mangum (DIRECTOR) |
| Authorized Official Contact | 5755215277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Id Consultants 2450 S Telshor Blvd Las Cruces NM 88011-5069 Ph: (575) 521-5277 | Id Consultants 2450 S Telshor Blvd Las Cruces NM 88011-5069 Ph: (575) 521-5277 |
| NPI Number | 1942581202 |
|---|---|
| Provider Enumeration Date | 08/31/2011 |
| Last Update Date | 08/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942581202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | () | Primary |
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