Individual
HENRY HUSON MIDDLETON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8208 LOUISIANA BLVD NE, STE C, ALBUQUERQUE, NM 87113-1757
(505) 858-1222
(505) 858-1224
Mailing address
1524 EUBANK BLVD NE, STE 6, ALBUQUERQUE, NM 87112-4160
(760) 449-4351
(866) 530-1835
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
78-226
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06064
—
NM
Enumeration date
06/30/2005
Last updated
08/21/2019
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