Individual
RICHARD B BOXER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8300 CONSTITUTION AVE NE, PMG KASEMAN SLEEP LAB, ALBUQUERQUE, NM 87110
(505) 291-2700
(505) 291-2989
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2003-0605
NM
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
2003-0605
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5075351
—
NM
Enumeration date
07/05/2006
Last updated
05/31/2012
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