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Organization
RETINA CONSULTANTS OF NEW MEXICO, LLC
Active
Organization
RETINA CONSULTANTS OF NEW MEXICO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER NATHANIEL ROYBAL MD, PHD (OWNER/PHYSICIAN)
(505) 235-4005
Entity
Organization
Contact information
Practice address
6401 HOLLY AVE NE, ALBUQUERQUE, NM 87113-2474
(505) 235-4005
Mailing address
6401 HOLLY AVE NE, ALBUQUERQUE, NM 87113-2474
(505) 235-4005
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
NULL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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