Advanced Urology of New Mexico LLC

NPI #1558667873 in Los Alamos, New Mexico

Provider Information

NPI Number: 1558667873
Entity Type: Organization
Organization Name: Advanced Urology of New Mexico LLC
Primary Specialty: Urology
Enumeration Date: Feb 3, 2011
Last Updated: Feb 3, 2011

Practice Location

Address: 3917 WEST RD
Address 2: SUITE 137
City: Los Alamos
State: New Mexico
ZIP Code: 87544-2275
Phone: (505) 661-8500

Authorized Official

Name: PAVEL V. MOURACHOV, MD
Title: OWNER
Phone: (505) 661-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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Individual Providers

Provider Name	Specialty	City
DR. James Gordon Knight, M.D.	Urology	Los Alamos	AI Deep Dive
Pavel Mourachov, MD	Urology	Los Alamos	AI Deep Dive
DR. Aaron J Geswaldo, DO	Urology	Albuquerque	AI Deep Dive
DR. Mark Ira Leibowitz, M.D.	Urology	Silver City	AI Deep Dive

Organizations

Provider Name	Specialty	City
Los Alamos Physician Practices LLC	Urology	Los Alamos	AI Deep Dive

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