UNIVERSITY OF NEW MEXICO MEDICAL GROUP INC. NPI 1427210590

NPI Information

UNIVERSITY OF NEW MEXICO MEDICAL GROUP, INC. is a student health clinic center in Albuquerque, NM. UNIVERSITY OF NEW MEXICO MEDICAL GROUP, INC. NPI is 1427210590. The provider is registered as an organization entity type.

The provider's business location address is:

415 THAXTON AVE SE
ALBUQUERQUE, NM
ZIP 87102-855
Phone: (505) 244-0334
Fax: (505) 272-2043

The provider's authorized official is Anthony Masciotra .
The authorized official title is Ceo and has the following contact phone number (505) 272-8950.

The enumeration date for this NPI number is 6/30/2008 and was last updated on 6/30/2008.

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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