Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northern New Mexico Surgical Services PC

Organization Surgery Physician · NPI 1740688548

Northern New Mexico Surgical Services PC is a Surgery Physician in Clayton, New Mexico. Licensed in New Mexico. Registered with an NPI since 2014.

Licensed in
NM
In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

300 Wilson St
Clayton, NM 88415-3304
Phone: (575) 374-0021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD2013-0738 (NM)

Record details

NPI number1740688548
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacque Callis — Credentialing Assistant · (575) 207-8890
NPI enumeratedDecember 9, 2014
Last updated in NPPESJanuary 22, 2015
Mailing addressPo Box 545, Clayton, NM 88415-0545

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