Provider First Line Business Practice Location Address:
8801 HORIZON BLVD., SUITE 260
Provider Second Line Business Practice Location Address:
UNITED HEALTH CARE- OPTUM
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87109
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-798-6248
Provider Business Practice Location Address Fax Number:
855-758-0342
Provider Enumeration Date:
10/28/2015