NPI 1497021257

Occupational Medicine 360

Organisation Exclusive Provider Organization Las Cruces, NM

Practice location

Address: 2525 S. Telshor Blvd Bldg. 16 Ste.106, Las Cruces, NM 88011
Phone: (575) 496-5551

Authorised official

Name: Katy Louise Wamel-Petermeier
Title: Owner
Phone: (575) 496-5551

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 03239181001 (NM)

Other Exclusive Provider Organization providers in New Mexico →

Registry record

NPI: 1497021257
Entity type: Organization
NPI issued: 27 Mar 2012
Record last updated: 27 Mar 2012

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.