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Contact Information

MICHAEL P. CLEMENTS MD
1096 MECHEM DR STE G05
RUIDOSO, NM88345-7057
 Phone: 575-973-5864
 Fax: 575-258-2648
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for MICHAEL P CLEMENTS MD · (Female)

NPI Number 1487290623
Status Active
Credentials
Entity Individual
Enumeration date 11/22/2019
Last updated 12/10/2019 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NM Medicaid 67601081
  • NM Medicaid Q0066
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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