Individual
ANDY NGOC HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6727 ACADEMY RD NE STE C, ALBUQUERQUE, NM 87109-3369
(505) 341-0070
Mailing address
6727 ACADEMY RD NE STE C, ALBUQUERQUE, NM 87109-3369
(505) 881-1585
(505) 828-3901
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
NM287
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213E00000X
—
NM
01
—
NM005491
BCBSNM
—
01
—
P00206089
RAIL ROAD
—
Enumeration date
08/21/2006
Last updated
12/20/2018
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