Provider First Line Business Practice Location Address:
1 UNIVERSITY OF NEW MEXICO HEALTH SCIENCES CENTER
Provider Second Line Business Practice Location Address:
2500 MARBLE 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:
83106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-272-5849
Provider Business Practice Location Address Fax Number:
319-356-3901
Provider Enumeration Date:
08/02/2006