Provider First Line Business Practice Location Address:
UNIVERSITY OF NEW MEXICO HOSPITAL
Provider Second Line Business Practice Location Address:
2211 LOMAS BLVD, NE
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-589-8915
Provider Business Practice Location Address Fax Number:
502-499-1259
Provider Enumeration Date:
08/06/2014