Organization
INTEGRATED HEALTHCARE OF NEW MEXICO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN L CHESHIRE III PHD (CEO)
(505) 554-1716
Entity
Organization
Contact information
Practice address
7632 WILLIAM MOYERS AVE NE, ALBUQUERQUE, NM 87122-2765
(505) 554-1716
(505) 792-5222
Mailing address
7632 WILLIAM MOYERS AVE NE, ALBUQUERQUE, NM 87122-2765
(505) 554-1716
(505) 792-5222
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
1251
NM
Other
Enumeration date
09/16/2014
Last updated
09/16/2014
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