LEA PAZOS CREEKMUR O'DELL

ESPANOLA, NM
NPI1407097827
Former NameLEA CREEKMUR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NM  A-2095-17)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: MO  2011010488)
207P00000X Emergency Medicine
(Licence: IL  036125848)
207P00000X Emergency Medicine
(Licence: IN  02003701A)
Enumeration Date2009-03-13
Last Update Date2018-03-17
Business Address
LEA PAZOS CREEKMUR O'DELL D.O.
1010 SPRUCE ST
ESPANOLA, NM 87532-2724
Phone number: 505-753-7111
Mailing Address
LEA PAZOS CREEKMUR O'DELL D.O.
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770