Search › New Mexico › 152W00000X
Larry Bussanmas, O.D
NPI 1922295419 · on the registry since 2007
Practice
- Address
- 3728 N Prince St
Clovis, NM 88101 - Phone
- (505) 742-0994
- Organisation at this address
- Wal-Mart Stores East Lp
Wal-Mart Stores East, LpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- NM, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-09-27
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