Individual
CHARLIE SALAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
601 4TH ST SW, CORONADO COMPLEX, ALBUQUERQUE, NM 87102-3840
(505) 247-1012
Mailing address
601 4TH ST SW, CORONADO COMPLEX, ALBUQUERQUE, NM 87102-3840
(505) 247-1012
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
L 1643
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
L 8566
—
NM
Enumeration date
02/26/2007
Last updated
07/09/2007
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