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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