Individual
PHILIP WIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UNIVERSITY OF NEW MEXICO HOSPITAL, 2211 LOMAS BLVD. NE, ALBUQUERQUE, NM 87131-0001
(505) 272-2269
(505) 272-5821
Mailing address
933 BRADBURY DR. SE, SUITE 2222, ALBUQUERQUE, NM 87106-4375
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
92-158
NM
Other
Enumeration date
07/30/2006
Last updated
04/26/2012
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