Organization
MOUNTAIN VIEW FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW DAVID TOTTER FNP (OWNER)
(505) 884-0079
Entity
Organization
Contact information
Practice address
4600 MONTGOMERY BLVD NE STE D201, ALBUQUERQUE, NM 87109-1211
(505) 610-1155
Mailing address
703 CHARLES PL NW, LOS RANCHOS, NM 87107-6224
(505) 297-7759
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932430501
—
NM
Enumeration date
07/07/2021
Last updated
12/28/2021
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