Organization
MAIN STREET ANESTHESIA OF NEW MEXICO, LLC
Active
Organization
MAIN STREET ANESTHESIA OF NEW MEXICO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA HEISCH (VICE PRESIDENT OF OPERATIONS)
(505) 308-3145
Entity
Organization
Contact information
Practice address
601 DR MARTIN LUTHER KING JR AVE NE, ALBUQUERQUE, NM 87102-3619
(505) 727-8000
Mailing address
6709 ACADEMY RD NE STE A, ALBUQUERQUE, NM 87109-3363
(505) 308-3145
(505) 308-3147
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/25/2018
Last updated
02/14/2023
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