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Contact Information

JOHN R UNDERWOOD, MD
400 N PENNSYLVANIA AVE STE 570
ROSWELL, NM88201-4792
 Phone: 575-434-0159
 Fax: 888-687-6133
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for JOHN R UNDERWOOD · (Male)

NPI Number 1962467555
Status Active
Credentials MD
Entity Individual
Enumeration date 04/18/2006
Last updated 08/22/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NM License # MD2019-0235
  • NM Medicaid 78176565
Hospital affiliation(s)
  • GERALD CHAMPION REGIONAL MEDICAL CENTE - (Acute Care)
    2669 NORTH SCENIC DRIVE
    ALAMOGORDO, NM 88310
  • LINCOLN COUNTY MEDICAL CENTER - (Critical Access)
    211 SUDDERTH DRIVE
    RUIDOSO, NM 88345
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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