University of New Mexico Medical Group, Inc.
NPI #1790946739 in Tijeras, New Mexico
Provider Information
- NPI Number
- 1790946739
- Entity Type
- Organization
- Organization Name
- University of New Mexico Medical Group, Inc.
- Primary Specialty
- Clinic/Center - Student Health
- Enumeration Date
- Jun 23, 2008
- Last Updated
- Jun 23, 2008
Practice Location
- Address
- 11799 STATE HIGHWAY 14 S
- City
- Tijeras
- State
- New Mexico
- ZIP Code
- 87059-8619
- Phone
- (505) 281-3602
Authorized Official
- Name
- MR. ANTHONY MASCIOTRA
- Title
- CEO
- Phone
- (505) 272-8950
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Student Health — Student Health |
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