Provider First Line Business Practice Location Address:
UNM DEPARTMENT OF ORTHOPAEDICS MSC 10-5600
Provider Second Line Business Practice Location Address:
1 UNIVERSITY OF NEW MEXICO
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:
414-272-1647
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/17/2006