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Northern New Mexico Urology Llc
Specialist in Los Alamos, New Mexico
NPI 1386604304

Northern New Mexico Urology Llc is a Specialist based in Los Alamos, NM. Northern New Mexico Urology Llc practices in Los Alamos, NM. The NPI Number for Northern New Mexico Urology Llc is 1386604304 and holds a License No. 2000-173 (New Mexico).

The current practice location address for Northern New Mexico Urology Llc is 3917 West Rd, Los Alamos, NM and can be reached out via phone at 505-661-8500 and via fax at 505-661-0096.

Location: 3917 West Rd, Los Alamos, NM, 87544-2275
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386604304
Provider Name
Northern New Mexico Urology Llc
Credential
Provider Entity Type
Organization
Address
3917 West Rd, Los Alamos, NM, 87544-2275
Phone Number
505-661-8500
Fax Number
505-661-0096
Provider Enumeration Date
03/24/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
B9141 05 NM
NM009J59 01 NM BCBS
institution
Provider Business Practice Location Address Details
Address
3917 West Rd
City
Los Alamos
State
New Mexico
Zip
87544-2275
Phone Number
505-661-8500
Fax Number
505-661-0096
person
Provider Business Mailing Address Details
Address
3917 West Rd
City
Los Alamos
State
New Mexico
Zip
87544-2275
Phone Number
505-661-8500
Fax Number
505-661-0096
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
2000-173 (New Mexico)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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