Provider First Line Business Practice Location Address:
1101 MEDICAL ARTS AVE NE BLDG 2
Provider Second Line Business Practice Location Address:
UNM SLEEP DISORDERS CENTER
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87102-2723
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-272-6110
Provider Business Practice Location Address Fax Number:
505-925-7750
Provider Enumeration Date:
10/06/2005