NPI 1053458240

Moms LLC

Organisation Medical Specialty Clinic/Center Taos, NM

Practice location

Address: 1329 Gusdorf Rd, Taos, NM 87571-6282
Phone: (575) 737-6504
Fax: (575) 737-6504

Authorised official

Name: Warren K Spellman
Title: Ceo
Phone: (575) 751-5714

Registered specialties

Medical Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM2500X Licence 6432 (NM)

Other Clinic/Center providers in New Mexico →

Registry record

NPI: 1053458240
Entity type: Organization
NPI issued: 30 Jan 2007
Record last updated: 19 Mar 2008

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.