Individual
DR. MICHAEL JAMES BLEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6701 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4318
(505) 727-6200
(505) 727-6200
Mailing address
6701 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4318
(505) 727-6200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
251879
MA
208600000X
Surgery Physician
Primary
MD2019-1075
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5408721
—
NM
Enumeration date
06/01/2012
Last updated
12/28/2020
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