Provider First Line Business Practice Location Address:
UNIVERSITY OF NEW MEXICO DEPT OF DERMATOLOGY
Provider Second Line Business Practice Location Address:
1021 MEDICAL ARTS AVE 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:
505-272-6000
Provider Business Practice Location Address Fax Number:
505-272-6003
Provider Enumeration Date:
02/22/2008