Organization
UNIVERSITY PHYSICIAN ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH J LANSDELL (CHIEF CREDENTIALS OFFICER)
(505) 272-1618
Entity
Organization
Contact information
Practice address
2211 LOMAS NE, ALBUQUERQUE, NM 87131-0001
(505) 272-8950
(505) 272-3202
Mailing address
1 UNM MSC 11-6094, ALBUQUERQUE, NM 87131-0001
(505) 272-8950
(505) 272-3202
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50559
—
NM
Enumeration date
06/23/2006
Last updated
08/22/2020
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