Provider First Line Business Practice Location Address:
UNIVERSITY OF NEW MEXICO MEDICAL CENTER
Provider Second Line Business Practice Location Address:
MSC11 6093
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:
505-272-0148
Provider Business Practice Location Address Fax Number:
505-272-9991
Provider Enumeration Date:
01/27/2006