institution
James M. Wilterding, M.d., Llc
Primary Care Clinic/Center in Albuquerque, New Mexico
NPI 1174622666

James M. Wilterding, M.d., Llc is a Primary Care Clinic/Center based in Albuquerque, NM and is specialized in Primary Care. James M. Wilterding, M.d., Llc practices in Albuquerque, NM. The NPI Number for James M. Wilterding, M.d., Llc is 1174622666 and holds a License No. 2003-0249 (New Mexico).

The current practice location address for James M. Wilterding, M.d., Llc is 711 Encino Pl Ne, Albuquerque, NM and can be reached out via phone at 505-265-2244 and via fax at 505-265-0557.

Location: 711 Encino Pl Ne, Albuquerque, NM, 87102-2619
institution
Provider Profile Details
NPI Number
1174622666
Provider Name
James M. Wilterding, M.d., Llc
Credential
Provider Entity Type
Organization
Address
711 Encino Pl Ne, Albuquerque, NM, 87102-2619
Phone Number
505-265-2244
Fax Number
505-265-0557
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
61238015 05 NM
PROVP16828 01 NM MOLINA SALUD
NM009M95 01 NM BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
711 Encino Pl Ne
City
State
Zip
87102-2619
Phone Number
505-265-2244
Fax Number
505-265-0557
person
Provider Business Mailing Address Details
Address
711 Encino Pl Ne
City
State
Zip
87102-2619
Phone Number
505-265-2244
Fax Number
505-265-0557
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
2003-0249 (New Mexico)
Definition
Definition to come...
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