| Pecos Valley Wellness LLC | |
|
401 N Union Ave Roswell NM 88201-3948 | |
| (575) 291-9814 | |
| (575) 587-3987 |
| Full Name | Pecos Valley Wellness LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 401 N Union Ave, Roswell, New Mexico |
| Authorized Official Name and Position | Stephen Wayne Muhr (OWNER/PROVIDER) |
| Authorized Official Contact | 5752919814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pecos Valley Wellness LLC 401 N Union Ave Roswell NM 88201-3948 Ph: (575) 291-9814 | Pecos Valley Wellness LLC 401 N Union Ave Roswell NM 88201-3948 Ph: (575) 291-9814 |
| NPI Number | 1407382567 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 05/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407382567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | PA2009-0030 (New Mexico) | Primary |
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