Tularosa Basin Dermatology in Alamogordo - Specialist
Tularosa Basin Dermatology - NPI 1669696951
Tularosa Basin Dermatology is a Specialist in Alamogordo, New Mexico. Tularosa Basin Dermatology practices all healthcare services and medical treatments related to Specialist. The NPI Number for Tularosa Basin Dermatology is 1669696951. The last update date is 2020-08-22.
Tularosa Basin Dermatology's current location address is 1212 9th St, Alamogordo, New Mexico. You can contact this provider via phone number 5054376700 and fax number 5054376644. The mailing address for Tularosa Basin Dermatology is 1212 9th St, Alamogordo, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tularosa Basin Dermatology |
|---|---|
| Address | 1212 9th St, Alamogordo, New Mexico |
| Phone Number | 5054376700 |
| Fax Number | 5054376644 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Toncray L. Jennifer |
| Credentials | D.O. |
| Telephone Number | 5054376700 |
NPI Number Detail
| NPI Number | 1669696951 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1212 9th St |
|---|---|
| City | Alamogordo |
| State | New Mexico (NM) |
| Post Code | 883105842 |
| Phone Number | 5054376700 |
| Fax Number | 5054376644 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | A115701 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the Tularosa Basin Dermatology's 1669696951?
The Tularosa Basin Dermatology's NPI (National Provider Identifier) Number is 1669696951. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Tularosa Basin Dermatology is physically located?
The Tularosa Basin Dermatology is situated at the following address: 1212 9Th St, Alamogordo, NM 883105842.
What is Tularosa Basin Dermatology's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tularosa Basin Dermatology is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did the Tularosa Basin Dermatology receive the assignment of its 1669696951 from the Centers for Medicare & Medicaid Services?
The Tularosa Basin Dermatology was issued its 1669696951 by the Centers for Medicare & Medicaid Services on 2007-04-11.
As of what date were the Tularosa Basin Dermatology's details last updated?
The information pertaining to the Tularosa Basin Dermatology, including its address, specialty, and other details, was most recently updated on 2020-08-22.