Individual
DEBORAH M. CONLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
PMG AT 8300 CONSTITUTION - FAMILY MEDICINE, 8300 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87110
(505) 291-2402
(505) 291-2499
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R31915
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000R5551
—
NM
Enumeration date
10/03/2006
Last updated
08/14/2008
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