AIA,PC
Hospitals at Adkins Ct, Clovis, NM

License number
New Mexico CRNA-01248
Category
Hospitals
Type
General Acute Care Hospital
Owner
Name: MR. DAVID BARTON HICKMAN CRNA
Title: PRESIDENT
Phone: (435) 553-9345
Address
Address
113 Adkins Ct, Clovis, NM 88101
National Provider ID: 1770952939
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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AIA, PC

113 Adkins Ct  , Clovis, NM 88101

Registration:
Apr 30, 2013
State ID:
4730453
Business type:
Domestic Profit
Incorporator:
Marion T Rutter (Incorporator)
Agent:
David Hickman,113 Adkins Ct, Clovis, NM 88101 (Physical)

Hospitals licenses in New Mexico

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