specializing in specialist in Albuquerque, New Mexico

NPI: 1336467422

Provider Type

2

Practice Locations

Mailing Location

8400 MENAUL BLVD. A211

ALBUQUERQUE, NM 87112

📞 5058367894

📠 8883154512

Practice Location

1817 W. 800 N

SALT LAKE CITY, UT 84025

📞 5058367894

📠 8883154512

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:5/13/2010
Last Updated:9/18/2012

Credentials

Primary Credential: