institution
Juan Tabo Family Medicine Pc
Primary Care Clinic/Center in Albuquerque, New Mexico
NPI 1073825816

Juan Tabo Family Medicine Pc is a Primary Care Clinic/Center based in Albuquerque, NM and is specialized in Primary Care. Juan Tabo Family Medicine Pc practices in Albuquerque, NM. The NPI Number for Juan Tabo Family Medicine Pc is 1073825816 and holds a License No. MD2007-0072 (New Mexico).

The current practice location address for Juan Tabo Family Medicine Pc is 3309 Juan Tabo Blvd Ne, Albuquerque, NM and can be reached out via phone at 505-554-1786 and via fax at 505-508-2482.

Location: 3309 Juan Tabo Blvd Ne, Albuquerque, NM, 87111-5131
institution
Provider Profile Details
NPI Number
1073825816
Provider Name
Juan Tabo Family Medicine Pc
Credential
Provider Entity Type
Organization
Address
3309 Juan Tabo Blvd Ne, Albuquerque, NM, 87111-5131
Phone Number
505-554-1786
Fax Number
505-508-2482
Provider Enumeration Date
07/09/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1477790327 01 NM CURRENT PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
3309 Juan Tabo Blvd Ne
City
State
Zip
87111-5131
Phone Number
505-554-1786
Fax Number
505-508-2482
person
Provider Business Mailing Address Details
Address
3309 Juan Tabo Blvd Ne
City
State
Zip
87111-5131
Phone Number
505-554-1786
Fax Number
505-508-2482
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
MD2007-0072 (New Mexico)
Definition
Definition to come...
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