Organization
WOMENS SPECIALISTS OF NEW MEXICO LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY TANNER (MANAGER)
(505) 843-6168
Entity
Organization
Contact information
Practice address
6320 RIVERSIDE PLAZA LN NW STE B, ALBUQUERQUE, NM 87120-1710
(505) 843-6168
(505) 792-1978
Mailing address
6320 RIVERSIDE PLAZA LN NW STE B, ALBUQUERQUE, NM 87120-1710
(505) 843-6168
(505) 792-1978
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47514
—
NM
Enumeration date
06/24/2005
Last updated
07/21/2020
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