Corrales Family Practice LLC
NPI #1043401508 in Corrales, New Mexico
Provider Information
- NPI Number
- 1043401508
- Entity Type
- Organization
- Organization Name
- Corrales Family Practice LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 8, 2007
- Last Updated
- Jun 12, 2008
Practice Location
- Address
- 3841 CORRALES RD
- City
- Corrales
- State
- New Mexico
- ZIP Code
- 87048-9311
- Phone
- (505) 792-3065
Authorized Official
- Name
- MS. ALYSON P THAL, M.D.
- Title
- OWNER
- Phone
- (505) 792-3065
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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