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CLOVIS DERMATOLOGY PA
NPI 1396906988
Specialist in Clovis, NM

Active since June 17, 2008
818 PARKLAND DR, CLOVIS, NM 88101(575) 762-8890 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Clovis Dermatology Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLOVIS DERMATOLOGY PA (NPI 1396906988) is a healthcare organization registered as a specialist in Clovis, New Mexico and active in the NPI registry since June 2008. The organization lists Donald J Brown, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1396906988
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCLOVIS DERMATOLOGY PA
Location Address818 PARKLAND DRClovis, NM 88101-4431
Mailing Address818 Parkland DrClovis, NM 88101-4431 · (575) 762-8890
Phone(575) 762-8890
Organization SubpartNo
Authorized OfficialDonald J BrownOwner/physician · (575) 762-8890
Enumeration DateJune 17, 2008
✔ NPI 1396906988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NM · A101294
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
818 PARKLAND DR, Clovis, NM 88101
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Other Identifiers 4

OtherNM024070NM · Blue Cross Blue Shield
Medicare PIN449119217MNM
Medicare UPINF94267NM
Other202005741NM · Presbyterian Health Plan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clovis Dermatology PA's NPI number?

The NPI number for Clovis Dermatology PA is 1396906988. It was assigned to this organization in the NPPES registry on June 17, 2008.

Where is Clovis Dermatology PA located?

Clovis Dermatology PA is located at 818 Parkland Dr, Clovis, NM 88101. The listed phone number is (575) 762-8890.

What is Clovis Dermatology PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Clovis Dermatology PA was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.