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Contact Information

SPINE AND ORTHOPEDIC CENTER OF NEW MEXICO PC
400 N PENNSYLVANIA AVE
SUITE 101
ROSWELL, NM88201-4754
 Phone: 575-623-9101
 Fax: 575-623-3020
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Adult Reconstructive Orthopaedic Surgery

207XS0114X 02 Physician/General Surgery
 

Orthopaedic Surgery of the Spine

207XS0117X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SPINE AND ORTHOPEDIC CENTER OF NEW MEXICO PC · (Female)

NPI # 1972941474
Status Active
Credentials
Entity Individual
Enumeration date 06/06/2013
Last updated 01/27/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • NM License # 2002-0310
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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