Polly C. Primm M.D.

NPI 1073516555 - Anesthesiology - 207L00000X

NPI Details
NPI 1073516555
Gender Female
Enumeration Date 05/27/2005
Last Updated 07/09/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1100 CENTRAL AVE SE
ALBUQUERQUE NM, 87106-4930, US
Phone (505) 841-1234
Fax (505) 841-1956
Business Location
1720 LOUISIANA BLVD NE
STE 401
ALBUQUERQUE NM, 87110-7020, US
Phone (505) 260-4300
Fax (505) 260-4338
Toxanomy
Taxonomy Code 207L00000X
License State New Mexico
License Number 97-125
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According to our database, Dr. Polly C. Primm M.D. NPI is 1073516555, taxonomy code is 207L00000X and license number is 97-125, license state is located at New Mexico. Polly C. Primm M.D. physically located at 1100 Central Ave Se, Albuquerque NM, 87106-4930. NPI Number Polly C. Primm M.D. has the Individual type.

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1073516555 NPI number is provided on an as is basis without warranty of any kind. 1073516555 is maintained by the National Plan & Provider Enumeration System. The contents of Polly C. Primm M.D. are for informational purposes only.