Provider First Line Business Practice Location Address:
1115 CENTRAL AVE NE
Provider Second Line Business Practice Location Address:
PMG EMERGENCY MEDICINE
Provider Business Practice Location Address City Name:
ALBUQUERQUE
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87106-4927
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-841-1125
Provider Business Practice Location Address Fax Number:
505-841-1737
Provider Enumeration Date:
10/04/2006