Corrales Family Practice Llc

NPI 1043401508 - Family Medicine - 207Q00000X

NPI Details
NPI 1043401508
Enumeration Date 08/08/2007
Last Updated 06/12/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ALYSON P ALYSON
Position OWNER
Phone (505) 792-3065
Fax (505) 792-4004
Practice Location
3841 CORRALES RD
CORRALES NM, 87048-9311, US
Phone (505) 792-3065
Fax (505) 792-4004
Business Location
3841 CORRALES RD
CORRALES NM, 87048-9311, US
Phone (505) 792-3065
Fax (505) 792-4004
Toxanomy
Taxonomy Code 207Q00000X
License State New Mexico
License Number 86346
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According to our database, Corrales Family Practice Llc NPI is 1043401508, taxonomy code is 207Q00000X and license number is 86346, license state is located at New Mexico. Corrales Family Practice Llc physically located at 3841 Corrales Rd, Corrales NM, 87048-9311. NPI Number 1033115704 has the healthcare provider type.

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1043401508 NPI number is provided on an as is basis without warranty of any kind. 1043401508 is maintained by the National Plan & Provider Enumeration System. The contents of Corrales Family Practice Llc are for informational purposes only.