Organization
NEW MEXICO GYNECOLOGY CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK B FISK III (CO-OWNER)
(505) 242-5353
Entity
Organization
Contact information
Practice address
4901 LANG AVE., NE, SUITE 203, ALBUQUERQUE, NM 87109-4597
(505) 242-5353
(505) 242-9788
Mailing address
4901 LANG AVE., NE, SUITE 203, ALBUQUERQUE, NM 87109-4597
(505) 242-5353
(505) 242-9788
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7104
—
NM
Enumeration date
01/05/2007
Last updated
11/29/2012
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