Individual
BIKAL WAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-5566
(505) 842-5550
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
80090
NM
Other
Enumeration date
07/26/2024
Last updated
03/03/2025
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