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1619737079
PROSTATE CANCER INSTITUTE OF NEW MEXICO PC
FARMINGTON, NM
NPI
1619737079
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Entity Type
Organization
Authorized Contact
AJAY BHATNAGAR
Owner And Physician
520-360-2895
Organization Subpart ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
Enumeration Date
2024-03-21
Last Update Date
2024-08-15
Business Address
PROSTATE CANCER INSTITUTE OF NEW MEXICO PC
2300 E 30TH ST STE B-106
FARMINGTON, NM 87401-8991
Phone number: 505-421-3144
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Mailing Address
PROSTATE CANCER INSTITUTE OF NEW MEXICO PC
PO BOX 15088
PHOENIX, AZ 85060-5088
Phone number: 505-421-3144
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