Organization
CAPERTON FERTILITY INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES CAPERTON II MD (OWNER)
(505) 553-3535
Entity
Organization
Contact information
Practice address
6500 JEFFERSON ST NE STE 250, ALBUQUERQUE, NM 87109-3490
(505) 702-8020
(505) 796-8022
Mailing address
6500 JEFFERSON ST NE STE 250, ALBUQUERQUE, NM 87109-3490
(505) 702-8020
(505) 796-8022
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD2005-0092
NM
261QM2500X
Medical Specialty Clinic/Center
MD2005-0092
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609984905
NPI
NM
01
—
1730253477
NPI
NM
Enumeration date
06/16/2016
Last updated
06/16/2016
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