Individual
ANGELA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2ND AMBULATORY CARE CTR, 2211 LOMAS BLVD. NE, ALBUQUERQUE, NM 87131-0001
(505) 272-6452
Mailing address
2211 LOMAS BLVD NE, MSC10 5610, ALBUQUERQUE, NM 87131-0001
(505) 272-6452
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2005-0623
NM
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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