Individual
JUSTIN JOSEPH SOMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MSC10 5590, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-2345
(505) 272-6845
Mailing address
MSC10 5590, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-2345
(505) 272-6845
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD2016-0491
NM
390200000X
Student in an Organized Health Care Education/Training Program
1275876559
NM
Other
Enumeration date
04/04/2013
Last updated
02/15/2017
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