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Organization
PAIN MANAGEMENT CLINICS OF NEW MEXICO, INC.
Active
Organization
PAIN MANAGEMENT CLINICS OF NEW MEXICO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAN P LEWIS M.D. (PRESIDENT)
(505) 248-0698
Entity
Organization
Contact information
Practice address
8005 PENNSYLVANIA CIR NE, ALBUQUERQUE, NM 87110-7810
(505) 248-0698
(505) 248-0798
Mailing address
8005 PENNSYLVANIA CIR NE, ALBUQUERQUE, NM 87110-7810
(505) 248-0698
(505) 248-0798
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
I-1464
NM
208VP0000X
Pain Medicine Physician
Primary
94-300
NM
225700000X
Massage Therapist
3659
NM
225700000X
Massage Therapist
4735
NM
Other
Enumeration date
02/19/2007
Last updated
06/21/2018
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