Provider First Line Business Practice Location Address:
INTERNAL MEDICINE MSC10 5550
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:
87131
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-272-6331
Provider Business Practice Location Address Fax Number:
505-272-4628
Provider Enumeration Date:
03/28/2013