NPI 1003444647

Cibola Specialty Associates

Organisation Multi-Specialty Clinic/Center Grants, NM

Practice location

Address: 1208 Bonita St, Grants, NM 87020-2234
Phone: (505) 287-4446
Mailing address: 1016 E Roosevelt Ave, Grants, NM 87020-2118

Authorised official

Name: Thomas Whelan
Title: Ceo
Phone: (505) 287-5300

Registered specialties (4)

Multi-Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM1300X

Other Clinic/Center providers in New Mexico →

Cardiovascular Disease Physician

Allopathic & Osteopathic Physicians Taxonomy 207RC0000X

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Orthopaedic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207X00000X

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Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X

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Registry record

NPI: 1003444647
Entity type: Organization
NPI issued: 30 Mar 2020
Record last updated: 11 Jan 2021

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.