Organization
EAGLES UNLIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL C COLLINS (EXECUTIVE DIRECTOR)
(505) 254-7600
Entity
Organization
Contact information
Practice address
1020 5TH ST NW, ALBUQUERQUE, NM 87102-2141
(505) 254-7600
(505) 254-7707
Mailing address
PO BOX 27302, ALBUQUERQUE, NM 87125-7302
(505) 254-7600
(505) 254-7707
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/29/2009
Last updated
07/29/2009
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