Individual
DR. EMILIA ROSA VESPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5550 WYOMING BLVD NE, ALBUQUERQUE, NM 87109-3167
(505) 462-6600
(505) 462-6641
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 462-6600
(505) 462-6641
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2020-1186
NM
207Q00000X
Family Medicine Physician
RS2018-0573
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD2020-1186
NMMB
NM
Enumeration date
06/21/2018
Last updated
06/15/2026
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