Provider First Line Business Practice Location Address:
DEPARTMENT OF INTERNAL MEDICINE MSC10-5550 1 UNIVERSITY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-272-4751
Provider Business Practice Location Address Fax Number:
505-272-8700
Provider Enumeration Date:
07/13/2012