OLD TOWN PRIMARY CARE INC. NPI 1417591413

NPI Information

OLD TOWN PRIMARY CARE, INC. is a primary care clinic center in Albuquerque, NM. OLD TOWN PRIMARY CARE, INC. NPI is 1417591413. The provider is registered as an organization entity type.

The provider's business location address is:

501 14TH ST NW
ALBUQUERQUE, NM
ZIP 87104-729
Phone: (505) 431-2777

The provider's authorized official is Angela Baumeister .
The authorized official title is Owner and has the following contact phone number (505) 431-2777.

The enumeration date for this NPI number is 11/1/2019 and was last updated on 11/1/2019.

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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