Provider First Line Business Practice Location Address:
WEST UNIVERSITY HOSPITAL 1ST
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:
87131-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-272-2423
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/24/2006