Sean Carlile O.D.

NPI 1104133420 - Optometrist - 152W00000X

NPI Details
NPI 1104133420
Gender Male
Enumeration Date 09/08/2010
Last Updated 09/08/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
1646 ALAMEDA BLVD NW
ALBUQUERQUE NM, 87114-8807, US
Phone (505) 792-3937
Fax (505) 792-3501
Business Location
12400 MONTGOMERY BLVD NE APT 32
ALBUQUERQUE NM, 87111-4164, US
Phone (505) 999-7234
Fax
Toxanomy
Taxonomy Code 152W00000X
License State New Mexico
License Number 623
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According to our database, Dr. Sean Carlile O.D. NPI is 1104133420, taxonomy code is 152W00000X and license number is 623, license state is located at New Mexico. Sean Carlile O.D. physically located at 1646 Alameda Blvd Nw, Albuquerque NM, 87114-8807. NPI Number Sean Carlile O.D. has the Individual type.

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1104133420 NPI number is provided on an as is basis without warranty of any kind. 1104133420 is maintained by the National Plan & Provider Enumeration System. The contents of Sean Carlile O.D. are for informational purposes only.