Organization
INNERFACE IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
E GARY FICHTNER (OWNER)
(505) 314-1669
Entity
Organization
Contact information
Practice address
8400 OSUNA BLVD NE, SUITE 5C, ALBUQUERQUE, NM 87111
(505) 314-1669
(505) 314-1670
Mailing address
4630 EUBANK BLVD NE, ALBUQUERQUE, NM 87111
(505) 323-9906
(505) 298-7227
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
08/07/2006
Last updated
08/22/2020
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