Provider First Line Business Practice Location Address:
MSC10 5600 (ORTHOPEDICS)
Provider Second Line Business Practice Location Address:
1 UNIVERSITY OF NEW MEXICO
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87114-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
550-527-2231
Provider Business Practice Location Address Fax Number:
505-272-8098
Provider Enumeration Date:
06/22/2010