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Individual

DR. MARIA CORAZON STA ANA HIZON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
201 CEDAR ST SE STE 4640, ALBUQUERQUE, NM 87106-4922
(505) 563-6530
(505) 563-6325
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD2015-0743
NM
2080P0205X
Pediatric Endocrinology Physician
Primary
MD2015-0743
NM

Other

Enumeration date
06/10/2009
Last updated
12/14/2015
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