Individual
MATTHEW JOHN CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
UNM HOSPITAL, 2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87131-0001
(505) 272-2111
(505) 272-1300
Mailing address
UNM HOSPITAL, 2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87131-0001
(505) 272-2610
(505) 272-1300
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A-1672-12
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/07/2008
Last updated
04/12/2013
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