Individual
EMILY C DEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3301 LA MANCHA DR NW, ALBUQUERQUE, NM 87104-3029
(505) 490-1704
(505) 433-4485
Mailing address
3301 LA MANCHA DR NW, ALBUQUERQUE, NM 87104-3029
(505) 490-1704
(505) 433-4485
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2005-0504
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60352078
—
NM
Enumeration date
02/22/2007
Last updated
06/05/2019
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