Individual
THOMAS DECOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2ND AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE, ALBUQUERQUE, NM 87131-0001
(505) 272-1623
Mailing address
2211 LOMAS BLVD NE, MSC10 5600, ALBUQUERQUE, NM 87131-0001
(505) 272-1623
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
86-210
NM
Other
Enumeration date
08/01/2006
Last updated
07/05/2024
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