Albert M Kwan MD PC

Organization Active NPI Surgery Physician · Clovis, NM

NPI 1477734747 · NPPES record last updated Feb 6, 2008

Key facts

NPI
1477734747
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
License
89-340 (NM)
Legal business name
ALBERT M KWAN MD PC
Practice address
1820 W 21St St
Clovis, NM 88101-4024
Phone
(575) 762-2207
Fax
(575) 762-7108
NPI assigned
Nov 15, 2007
Organization subpart
No

Authorized official

Name
Dr. Albert M Kwan, MD
Title
Owner
Phone
(575) 762-2207

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208600000X 89-340 NM Yes

Addresses

Primary practice location

1820 W 21St St
Clovis, NM 88101-4024

Mailing address

1820 W 21St St
Clovis, NM 88101-4024
Phone (575) 762-2207

Other identifiers

IdentifierTypeStateIssuer
10585MedicaidNM

Other providers in Clovis, NM

All providers in Clovis, NM · Surgery Physician in New Mexico

Sources for this page

Verify at the official NPI Registry.