Individual
DR. PAUL ALLEN BRITTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
715 DR MARTIN LUTHER KING JR AVE NE STE 102, ALBUQUERQUE, NM 87102
(505) 727-3040
(505) 727-9590
Mailing address
715 DR MARTIN LUTHER KING JR AVE NE STE 102, ALBUQUERQUE, NM 87102-3666
(505) 727-3040
(505) 727-3099
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD2018-0545
NM
207RH0003X
Hematology & Oncology Physician
PENDING
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24158038
—
NM
Enumeration date
04/05/2012
Last updated
05/26/2020
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