EXTENDED HEALTHCARE LLC NPI 1154785640

NPI Information

EXTENDED HEALTHCARE, LLC is a general practice in Albuquerque, NM. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee EXTENDED HEALTHCARE, LLC NPI is 1154785640. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2600 VERANDA RD NW
ALBUQUERQUE, NM
ZIP 87107-940
Phone: (505) 414-3996

The provider's authorized official is Joan Patricia Lewis .
The authorized official title is Ceo and has the following contact phone number (505) 414-3996.

The enumeration date for this NPI number is 4/11/2016 and was last updated on 4/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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