Blue And Red Bird Corp Pc in Clovis - General Practice

Blue And Red Bird Corp Pc - NPI 1548472830

Blue And Red Bird Corp Pc is a General Practice in Clovis, New Mexico. Blue And Red Bird Corp Pc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Blue And Red Bird Corp Pc is 1548472830. The last update date is 2016-10-26.

Blue And Red Bird Corp Pc's current location address is 815 W 14th St, Clovis, New Mexico. You can contact this provider via phone number 5057626492 and fax number 5057698236. The mailing address for Blue And Red Bird Corp Pc is 815 W 14th St, Clovis, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Organization Blue And Red Bird Corp Pc
Address 815 W 14th St, Clovis, New Mexico
Phone Number 5057626492
Fax Number 5057698236
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DI
Authorized Official Name Ghaffari M Ali
Credentials M.D.
Telephone Number 5057626492

NPI Number Detail

NPI Number 1548472830
Provider Enumeration Date 2007-05-07
Last Updated Date 2016-10-26

Provider Mailing Address Detail

Address 815 W 14th St
City Clovis
State New Mexico (NM)
Post Code 881015514
Phone Number 5057626492
Fax Number 5057698236

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
S2511 NM --

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FAQs about Blue And Red Bird Corp Pc

What is the unique 10-digit identifier code issued to Blue And Red Bird Corp Pc by the Centers for Medicare & Medicaid Services?

The Blue And Red Bird Corp Pc has been assigned the NPI (National Provider Identifier) 1548472830 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Blue And Red Bird Corp Pc is physically located?

The Blue And Red Bird Corp Pc is physically situated at the following address: 815 W 14Th St, Clovis, NM, 881015514.

What is Blue And Red Bird Corp Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Blue And Red Bird Corp Pc is General Practice, and the taxonomy code that classifies this field of practice is 208D00000X.

On what date did the Blue And Red Bird Corp Pc receive the assignment of its 1548472830 from the Centers for Medicare & Medicaid Services?

The Blue And Red Bird Corp Pc was issued its 1548472830 by the Centers for Medicare & Medicaid Services on 2007-05-07.

When was the information regarding Blue And Red Bird Corp Pc most recently updated?

The details pertaining to the Blue And Red Bird Corp Pc, including its address, specialty, and other relevant information, were last refreshed on 2016-10-26.

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