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Individual

MICHAEL A MONTOYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1821 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-4905
(505) 255-1228
(505) 255-1394
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
91-263
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000F6815
NM
Enumeration date
08/30/2006
Last updated
10/29/2024
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