ABQ INJURY CLINIC NPI 1528407970

NPI Information

ABQ INJURY CLINIC is a health service clinic center in Albuquerque, NM. ABQ INJURY CLINIC NPI is 1528407970. The provider is registered as an organization entity type.

The provider's business location address is:

5500 SAN MATEO BLVD NE
SUITE 102
ALBUQUERQUE, NM
ZIP 87109-299
Phone: (505) 884-4365
Fax: (505) 884-4265

The provider's authorized official is Joseph F Wilson .
The authorized official title is Doctor and has the following contact phone number (505) 884-4365.

The enumeration date for this NPI number is 6/19/2013 and was last updated on 6/19/2013.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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