Provider First Line Business Practice Location Address:
6200 UPTOWN BLVD SUITE 410
Provider Second Line Business Practice Location Address:
DERMATOLOGY & SKIN CANCER CENTER OF NM
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-243-7546
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/06/2007