# NEW MEXICO PAIN AND SPINE INSTITUTE, A PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1861728016
- **Authorized official:** SARAH MUELLER (PRACTICE SUPPORT MANAGER)
- **Authorized official phone:** (425) 407-1000

## Contact information

- **Practice address:** 8300 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87110-7613
- **Practice address phone:** (425) 407-1000
- **Practice address fax:** (505) 317-3676
- **Mailing address:** 125 LAGUNA BLVD SW, ALBUQUERQUE, NM 87104-1157
- **Mailing address phone:** (425) 407-1000
- **Mailing address fax:** (505) 317-3676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | PT0103628 | NM | Yes |

## Other

- **Enumeration date:** 10/22/2009
- **Last updated:** 09/11/2019