Organization
BARRY D. NAGEL, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY D. NAGEL MD (OWNER)
(505) 848-3124
Entity
Organization
Contact information
Practice address
1020 TIJERAS AVE NE, SUITE 22, ALBUQUERQUE, NM 87106-4749
(505) 848-3124
(505) 848-8077
Mailing address
1020 TIJERAS AVE NE, SUITE 22, ALBUQUERQUE, NM 87106-4749
(505) 848-3124
(505) 848-8077
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
73-230
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13201
—
NM
01
—
NM003124
BCBS
NM
Enumeration date
06/21/2007
Last updated
08/22/2020
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