Organization
RECOVERY SERVICES OF SOUTHERN NEW MEXICO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD LOBATO (MANAGER)
(505) 884-1214
Entity
Organization
Contact information
Practice address
1235 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-5044
(505) 717-2397
(505) 717-2498
Mailing address
1235 WYOMING BLVD NE, ALBUQUERQUE, NM 87112-5044
(505) 717-2397
(505) 717-2498
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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