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NPI Code Detail

MEDICARE: DR. RALPH EDWARD MCELMURRY JR. D.D.S.

MEDICARE:  DR. RALPH EDWARD MCELMURRY JR. D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0300XPeriodonticsDD1331NM

General Provider Information

NPI Number : 1568517787
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RALPH EDWARD MCELMURRY JR. D.D.S.
Provider Business Mailing Address
First Line : 2918 HILLRISE DR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-4702
Country : US
Telephone Number : 575-522-2477
Fax Number : 575-521-3556
Provider Business Practice Location Address
First Line : 2918 HILLRISE DR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-4702
Country : US
Telephone Number : 575-522-2477
Fax Number : 575-521-3556
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2007
Last Update Date : 11/20/2013

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Directions to “ DR. RALPH EDWARD MCELMURRY JR. D.D.S.” Practice Location

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