Provider First Line Business Practice Location Address:
2211 LOMAS BLVD. NE 2ND FLOOR
Provider Second Line Business Practice Location Address:
UNM SURGICAL SPECIALTIES CLINIC, UNIVERSITY
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-272-2336
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/12/2015