Provider First Line Business Practice Location Address:
1 UNIVERSITY OF NEW MEXICO
Provider Second Line Business Practice Location Address:
DEPT OF INTERNAL MEDICINE - MSC10-5550
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:
505-372-3411
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/22/2013