# RETINA CONSULTANTS OF NEW MEXICO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558960799
- **Authorized official:** DR. CHRISTOPHER NATHANIEL ROYBAL MD, PHD (OWNER/PHYSICIAN)
- **Authorized official phone:** (505) 235-4005

## Contact information

- **Practice address:** 6401 HOLLY AVE NE, ALBUQUERQUE, NM 87113-2474
- **Practice address phone:** (505) 235-4005
- **Mailing address:** 6401 HOLLY AVE NE, ALBUQUERQUE, NM 87113-2474
- **Mailing address phone:** (505) 235-4005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | NULL | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2020
- **Last updated:** 10/20/2020