Individual
MEGAN SUSANNE SOFKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1208 PRINCETON DR SE, ALBUQUERQUE, NM 87106-3019
(505) 346-7656
(505) 485-0560
Mailing address
4421 SUPERSTITION DR, LAS CRUCES, NM 88011-7514
(505) 306-7437
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
DO2023-0413
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2020
Last updated
12/13/2023
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