OAK STREET HEALTH PHYSICIANS GROUP OF NEW MEXICO LLC NPI 1134793151

NPI Information

OAK STREET HEALTH PHYSICIANS GROUP OF NEW MEXICO LLC is a primary care clinic center in Albuquerque, NM. OAK STREET HEALTH PHYSICIANS GROUP OF NEW MEXICO LLC NPI is 1134793151. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4208 CENTRAL AVE SW STE G
ALBUQUERQUE, NM
ZIP 87105-695
Phone: (312) 733-9730

The provider's authorized official is Griffin Myers .
The authorized official title is Cmo, Founder and has the following contact phone number (307) 264-2085.

The CLIA number assigned to this NPI record is 32D2228150 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/14/2021 and was last updated on 6/30/2023.

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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