Provider First Line Business Practice Location Address:
UNMHSC SPECIALTY EXTENSION SERVICES
Provider Second Line Business Practice Location Address:
MSC08-4600, 1 UNM
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:
505-272-4861
Provider Business Practice Location Address Fax Number:
505-272-2360
Provider Enumeration Date:
06/26/2006