Search › New Mexico › 104100000X
Carl Wamboldt
NPI 1124538376 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1001 West Broadway
Farmington, NM 87401 - Phone
- (505) 327-4796
- Organisation at this address
- Presbyterian Medical Services
Presbyterian Medical Services
Presbyterian Medical Services
Presbyterian Medical Services
Presbyterian Medical ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 152
Additional practice sites
- 920 W Broadway St, Hobbs, NM
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 390200000X
171M00000X - Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico