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Contact Information

OMAR L IZQUIERDO, MD
1960 N DATE ST
TRUTH OR CONSEQUENCES, NM87901-3701
 Phone: 575-894-7662
 Fax: 575-894-7930
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for OMAR L IZQUIERDO · (Male)

NPI Number 1891886529
Status Active
Credentials MD
Entity Individual
Enumeration date 09/27/2006
Last updated 01/23/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NM License # MD2003--0718
  • NM License # MD2003-0718
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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