Organization
SOUTHWEST NEUROSURGICAL ASSOCIATES PC
Active
Organization
SOUTHWEST NEUROSURGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRIS STONEHOUSE (OFFICE MANAGER)
(505) 244-0080
Entity
Organization
Contact information
Practice address
8080 ACADEMY RD NE, SUITE B, ALBUQUERQUE, NM 87111-1159
(505) 244-0080
(505) 244-9048
Mailing address
8080 ACADEMY RD NE, SUITE B, ALBUQUERQUE, NM 87111-1159
(505) 244-0080
(505) 244-9048
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
2001257
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83483861
—
NM
01
—
NM029548
BCBS OF NM
NM
Enumeration date
07/07/2005
Last updated
09/16/2014
Update your record
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