Individual
DR. BRIAN GEORGE MISCALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6501 SAN ANTONIO DR NE, #803, ALBUQUERQUE, NM 87109-4139
(505) 299-0836
Mailing address
8100 WYOMING BLVD NE, M-4 #285, ALBUQUERQUE, NM 87113-1963
(505) 299-0836
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
77-223
NM
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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