Epc Nm Aco LLC

NPI #1063096295 in Albuquerque, New Mexico

Provider Information

NPI Number: 1063096295
Entity Type: Organization
Organization Name: Epc Nm Aco LLC
Primary Specialty: Internal Medicine
Enumeration Date: May 12, 2021
Last Updated: May 12, 2021

Practice Location

Address: 5151 JOURNAL CENTER BLVD NE
City: Albuquerque
State: New Mexico
ZIP Code: 87109-5905
Phone: (737) 226-6700

Authorized Official

Name: ANTONIO GAMBOA, MD
Title: OWNER
Phone: (737) 226-6700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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