Provider First Line Business Practice Location Address:
1127 UNIVERSITY BLVD NE
Provider Second Line Business Practice Location Address:
CARRIE TINGLEY HOSPITAL
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87102-1740
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-272-5271
Provider Business Practice Location Address Fax Number:
505-272-6500
Provider Enumeration Date:
08/02/2006