Donna M. Thibodeau, MD

Internal Medicine Physician · Clovis, NM

Individual Active NPI

NPI number 1053440933

Practice location

2100 N Dr Martin Luther King Jr Blvd
Clovis Plains Reg Med Ctr
Clovis, NM 88101-9412
Phone
(505) 769-2141
Fax
(505) 769-7337

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NPI record

NPI
1053440933
Entity type
Individual (Type 1)
Enumeration date
March 5, 2007
Last updated
March 18, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Internal Medicine Physician Primary 207R00000X 86135 NM

Mailing address

PO Box 26666
PHS Provider Enrollment
Albuquerque, NM 87125-6666
Phone
(505) 923-5356
Fax
(505) 923-5354

About Dr. Thibodeau

Donna M. Thibodeau, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Internal Medicine Physician (code 207R00000X). The practice location is 2100 N Dr Martin Luther King Jr Blvd, Clovis Plains Reg Med Ctr, Clovis, NM 88101-9412. The NPI number 1053440933 was assigned on March 5, 2007 and the record was last updated on March 18, 2009.

Dr. Thibodeau lists a license in the registry: #86135 (NM) for Internal Medicine Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Donna M. Thibodeau, MD?

The NPI number is 1053440933.

What is the phone number of Dr. Thibodeau?

The phone number listed for the practice location is (505) 769-2141.

Where is Dr. Thibodeau located?

2100 N Dr Martin Luther King Jr Blvd, Clovis Plains Reg Med Ctr, Clovis, NM 88101-9412.

What is the taxonomy code for Dr. Thibodeau?

The primary taxonomy code is 207R00000X – Internal Medicine Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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