NPI 1578075016
State of New Mexico
Practice location
- Address
- 72 Gail Harris St, Roswell, NM 88203-8116
- Phone
- (575) 347-3400
- Fax
- (575) 347-5177
Authorised official
- Name
- Jose Luis Gurrola
- Title
- Administrator
- Phone
- (575) 347-3410
Registered specialties
Special Hospital
Primary
Registry record
- NPI
- 1578075016
- Entity type
- Organization
- NPI issued
- 24 Oct 2017
- Record last updated
- 24 Oct 2017
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.