SOUTHWEST RECOVERY AND WELLNESS LLC NPI 1043713415

NPI Information

SOUTHWEST RECOVERY AND WELLNESS LLC is an addiction medicine family medicine in Albuquerque, NM. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. SOUTHWEST RECOVERY AND WELLNESS LLC NPI is 1043713415. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3874 MASTHEAD ST NE
ALBUQUERQUE, NM
ZIP 87109-479
Phone: (505) 896-9412
Fax: (505) 895-2505

The provider's authorized official is Robert D. Miller .
The authorized official title is President and has the following contact phone number (323) 854-8587.

The CLIA number assigned to this NPI record is 32D2192182 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/13/2018 and was last updated on 3/13/2018.

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:

Other Identifiers

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