Organization
RECOVERY SERVICES OF SOUTHERN NEW MEXICO LLC
Active
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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