Provider First Line Business Practice Location Address:
2211 LOMAS BLVD NE
Provider Second Line Business Practice Location Address:
ANTICOAGULATION CLINIC, MAIN HOSPITAL SECOND FLOOR
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87106-2719
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-272-6202
Provider Business Practice Location Address Fax Number:
505-272-4882
Provider Enumeration Date:
08/29/2011