MOSAIC NEUROSCIENCE GROUP
Psychiatric at Union Ave, Roswell, NM

License number
New Mexico MD2006-0490
Category
Osteopathic Medicine
Type
Internal Medicine
License number
New Mexico 2008-0595
Category
Psychiatric
Type
Psychiatry
Owner
Name: DR. DAVID DURHAM M.D.
Title: MANAGING DIRECTOR
Phone: (602) 430-4746
Address
Address
1700 N Union Ave SUITE B, Roswell, NM 88201
National Provider ID: 1831463918
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MOSAIC NEUROSCIENCE GROUP at bizstanding.com

MOSAIC NEUROSCIENCE GROUP LLC

1700 N Union  , Roswell, NM 88201

Status:
Inactive
Registration:
Jul 16, 2009
State ID:
4194221
Business type:
Domestic Limited Liability Company
Organizer:
Robert Neuberger (Organizer)
Agent:
Corporation Service Company,123 E Marcy St SUITE 101, Santa Fe, NM 87501 (Physical)

Psychiatric licenses in New Mexico






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