| Prn Medical | |
|
1717 W 2nd St Suite 115 Roswell NM 88201-2000 | |
| (505) 627-5700 | |
| (505) 627-9419 |
| Full Name | Prn Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 1717 W 2nd St, Roswell, New Mexico |
| Authorized Official Name and Position | Gabriele Stiller (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5056279350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prn Medical 1717 W 2nd St Suite 115 Roswell NM 88201-2000 Ph: (505) 627-5700 | Prn Medical 1717 W 2nd St Suite 115 Roswell NM 88201-2000 Ph: (505) 627-5700 |
| NPI Number | 1982826079 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 11/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982826079 | NPI | - | NPPES |
| B8576 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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