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Organization
OPTUMCARE NEW MEXICO LLC
Active
Organization
OPTUMCARE NEW MEXICO LLC
Active
Other names
DaVita Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY CASTILLO (ASSOCIATE DIRECTOR)
(702) 480-2550
Entity
Organization
Contact information
Practice address
2901 TRANSPORT ST SE, ALBUQUERQUE, NM 87106-4382
(505) 262-7000
(505) 262-7652
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028
(505) 262-7000
(505) 262-7652
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32D0685327
NM
Other
Enumeration date
07/11/2006
Last updated
03/29/2024
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