ROGER WESLEY GILDERSLEEVE

CEDAR CREST, NM
NPI1770554149
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NM  MD2004-0789)
Additional Taxonomies207Q00000X Family Medicine
(Licence: TX  m6632)
Enumeration Date2006-02-01
Last Update Date2015-12-08
Business Address
-- ROGER WESLEY GILDERSLEEVE MD
12127B HWY 14 N STE 5
CEDAR CREST, NM 87008-9499
Phone number: 505-281-5180
Mailing Address
-- ROGER WESLEY GILDERSLEEVE MD
12127B HWY 14 N STE 5
CEDAR CREST, NM 87008-9499
Phone number: 505-281-5180