CHARLES L SECORA

RATON, NM
NPI1134366479
Entity TypeOrganization
Authorized ContactCHARLES L SECORA
Owner
575-445-4111
Organization Subpart ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: NM  89-298)
Enumeration Date2009-01-08
Last Update Date2009-01-08
Business Address
CHARLES L SECORA
166 HOSPITAL DR
RATON, NM 87740-2002
Phone number: 575-445-4111
Mailing Address
CHARLES L SECORA
166 HOSPITAL DR
RATON, NM 87740-2002
Phone number: 575-445-4111
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