National Provider Identifier Database

DERMATOLOGY OF LAS CRUCES PC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

DERMATOLOGY OF LAS CRUCES, PC
3865 FOOTHILLS RD
LAS CRUCES, NM88011-5091
Phone: 575-521-7117
Fax: 575-521-7226
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for DERMATOLOGY OF LAS CRUCES, PC

NPI Number 1780075135
Legal business name
LBN
DERMATOLOGY OF LAS CRUCES, PC
Authorized official ANDREW ONDO - (OWNER/PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 02/06/2015
Last updated 05/31/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 97-332

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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