Southwestern Provider Services LLC
NPI #1336608504 in Albuquerque, New Mexico
Provider Information
- NPI Number
- 1336608504
- Entity Type
- Organization
- Organization Name
- Southwestern Provider Services LLC
- Primary Specialty
- Emergency Medicine
- Enumeration Date
- Mar 18, 2019
- Last Updated
- Jan 10, 2020
Practice Location
- Address
- 6400 PASEO DEL NORTE
- City
- Albuquerque
- State
- New Mexico
- ZIP Code
- 87113
- Phone
- (865) 693-1000
Authorized Official
- Name
- ROBERT RAY FRANTZ JR., MD
- Title
- PRESIDENT
- Phone
- (865) 693-1000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Emergency — Emergency |
| Registered Nurse - Ambulatory Care — Ambulatory Care |
| Family Medicine |
| Physician Assistant |
| Nurse Practitioner |
| Nurse Practitioner - Family — Family |
| Nurse Practitioner - Primary Care — Primary Care |
| Emergency Medicine |
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| Darren M Shafer, DO | |
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| Nicholas Weiss, D.O. | |
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