University Of New Mexico

NPI 1043461163 - Clinic/Center - 261QS1000X

NPI Details
NPI 1043461163
Enumeration Date 10/07/2008
Last Updated 10/07/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ANTHONY ANTHONY
Position CEO
Phone (505) 299-2113
Fax (505) 323-1338
Practice Location
1111 EASTERDAY DR NE
ALBUQUERQUE NM, 87112-5115, US
Phone (505) 299-2113
Fax (505) 323-1338
Business Location
UNM SCHOOL BASED HEALTH CTRS
MSC09 5040 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE NM, 87131-0001, US
Phone (505) 272-0457
Fax (505) 272-2043
Toxanomy
Taxonomy Code 261QS1000X
License State New Mexico
License Number R45196
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According to our database, University Of New Mexico NPI is 1043461163, taxonomy code is 261QS1000X and license number is R45196, license state is located at New Mexico. University Of New Mexico physically located at 1111 Easterday Dr Ne, Albuquerque NM, 87112-5115. NPI Number 1033115704 has the healthcare provider type.

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1043461163 NPI number is provided on an as is basis without warranty of any kind. 1043461163 is maintained by the National Plan & Provider Enumeration System. The contents of University Of New Mexico are for informational purposes only.