Individual
ALLYSON MARIE RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1020 TIJERAS AVE NE STE 22, ALBUQUERQUE, NM 87106-4749
(505) 848-3124
Mailing address
1020 TIJERAS AVE NE STE 22, ALBUQUERQUE, NM 87106-4749
(505) 848-3124
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
97-130
NM
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
97-130
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM012015
BCBS
NM
05
—
Q2915
—
NM
Enumeration date
10/12/2006
Last updated
12/04/2012
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