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Individual

DR. GLEN H. MURATA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 256-2727
(505) 256-2888
Mailing address
5916 CANYON CREST PL NE, ALBUQUERQUE, NM 87111-6620
(505) 823-9290

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
87-122
NM

Other

Enumeration date
04/19/2006
Last updated
07/08/2007
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