# ALBUQUERQUE FAMILY AND SPORTS MEDICINE

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

## Provider details

- **NPI number:** 1912038688
- **Authorized official:** DR. ROBERT DEAN BAIR JR. D.O (PRESIDENT)
- **Authorized official phone:** (505) 872-8727

## Contact information

- **Practice address:** 101 HOSPITAL LOOP NE, SUITE 209, ALBUQUERQUE, NM 87109-2129
- **Practice address phone:** (505) 872-8727
- **Practice address fax:** (505) 872-8728
- **Mailing address:** 101 HOSPITAL LOOP NE, SUITE 209, ALBUQUERQUE, NM 87109-2129
- **Mailing address phone:** (505) 872-8727
- **Mailing address fax:** (505) 872-8728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | A-710-80 | NM | Yes |

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 06/12/2008
