Provider First Line Business Practice Location Address:
MSC (10-5550)
Provider Second Line Business Practice Location Address:
1 UNIVERSITY OF NEW MEXICO DEPT. OF INTERNAL MEDICINE
Provider Business Practice Location Address City Name:
ALBUQERQUE
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:
505-272-6331
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/11/2020