Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | DO2021-0044 | NM |
N | 208D00000X | General Practice Physician | R-04-2016MNT | NM |
NPI | 1023464989 |
---|---|
Provider Name | Dr. Eric Tyler Czer |
First Address | Las Cruces, NM 88011-4349 |
Second Address | Las Cruces, NM 88011-8262 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2016 |
Last Update Date | 20/01/2022 |