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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROBERT MARION ADDISON, PHC

Active Sole Proprietor

ROBERT MARION ADDISON, PHC is a Pharmacotherapy Specialist healthcare provider located in PORTALES, New Mexico. NPI 1225151988 is currently active in the NPPES registry. Verify at CMS.

Pharmacotherapy Specialist · PORTALES, NM

Registration Details

NPI Number
1225151988
Provider Type
Individual
Gender
Male
NPI Issued
Apr 9, 2007 (19.159843967231 yrs)
Last Updated
Jul 8, 2007
License
PC00000015 (NM)
Sole Proprietor
Yes

Practice Information

Address
42121 US HWY 70
PORTALES, NM, 881300510
Browse NM providers · Browse ZIP 88130
Phone
5053566652
Fax
5053596827
Primary Specialty
Pharmacotherapy Specialist
1835P1200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.