SearchNew Mexico101YA0400X

Elbert Whitehorse

NPI 1326342080 · on the registry since 2011 · sole proprietor

Practice

Address
1615 Ojo Ct
Farmington, NM 87401
Phone
(505) 564-4804
Fax
(505) 564-4857
Clinicians at this address
7

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-01-10

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