Whalio Doctors

NPI 1003053679

Las Vegas Primary Care, INC

Organisation Family Medicine Physician Las Vegas, NM

Practice location

Address
2020 7th St, Las Vegas, NM 87701-4958
Phone
(505) 425-6731
Fax
(505) 454-1185
Mailing address
1 Calle Medico, Santa Fe, NM 87505-4764

Authorised official

Name
Pat a Roybal
Title
Office Manager
Phone
(505) 982-0123

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence R36466NM (NM)

Registry record

NPI
1003053679
Entity type
Organization
NPI issued
19 Jan 2009
Record last updated
19 Jan 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.