Organization
UNIVERSITY OF NEW MEXICO MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHERINE A LAFOND (COORDINATOR PROVIDER ENROLLMENT)
(505) 272-8950
Entity
Organization
Contact information
Practice address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-8950
(505) 272-6276
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-8950
(505) 272-6276
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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