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1900 N DAL PASO ST HOBBS NM 882403045
GENE PRENDERGAST is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1144370446. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 941336812. The primary specialty is ORTHOPEDIC SURGERY. The organization is PECOS VALLEY OF NEW MEXICO LLC. The address is 1900 N DAL PASO ST, , HOBBS, NM, 882403045. The zip code is 882403045.
|Nation Provider ID||1144370446|
|PAC ID by PECOS||941336812|
|Professional Enrollment ID||I20110912000739|
|Medical School Name||OTHER|
|Primary Specialty||ORTHOPEDIC SURGERY|
|All secondary specialties|
|Organization Name||PECOS VALLEY OF NEW MEXICO LLC|
|Group Practice PAC ID||2466359781|
|Number of Group Practice members||38|
|Address||1900 N DAL PASO ST, , HOBBS, NM, 882403045|
|Hospital affiliation LBN||GV HOSPITAL MANAGEMENT LLC|