Mosaic Neuroscience Group
Mosaic Neuroscience Group is an Internal Medicine Physician in Roswell, New Mexico. Licensed in New Mexico. Registered with an NPI since 2012.
- Licensed in
- NM
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
1700 N Union Ave Ste BRoswell, NM 88201-3267
Phone: (602) 430-4746
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence 2008-0595 (NM) |
|---|---|
| Internal Medicine Physician | Taxonomy 207R00000X · Licence MD2006-0490 (NM) |
Record details
| NPI number | 1831463918 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Durham — Managing Director · (602) 430-4746 |
| NPI enumerated | March 7, 2012 |
| Last updated in NPPES | March 7, 2012 |
| Mailing address | 1700 N Union Ave, Suite B, Roswell, NM 88201-3267 |
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