RIO GRANDE GERIATRICS AND FAMILY PRACTICE LLC NPI 1639505712

NPI Information

RIO GRANDE GERIATRICS AND FAMILY PRACTICE LLC is a gerontology registered nurse in Albuquerque, NM. RIO GRANDE GERIATRICS AND FAMILY PRACTICE LLC NPI is 1639505712. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8328 CASCADE PARK AVE NW
ALBUQUERQUE, NM
ZIP 87120-523
Phone: (505) 220-3873
Fax: (505) 792-5222

The provider's authorized official is Mike A Wallace .
The authorized official title is Ceo Medical Director and has the following contact phone number (505) 220-3873.

The enumeration date for this NPI number is 9/19/2013 and was last updated on 9/19/2013.

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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