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Contact Information

PROSTATE CANCER INSTITUTE OF NEW MEXICO PC
2300 E 30TH ST STE B-106
FARMINGTON, NM87401-8991
 Phone: 505-421-3144
 Fax: 505-421-3145
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for PROSTATE CANCER INSTITUTE OF NEW MEXICO PC · (Female)

NPI # 1619737079
Status Active
Credentials
Entity Individual
Enumeration date 03/21/2024
Last updated 08/15/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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