Individual
DR. MAURINE HEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(510) 428-3070
(510) 450-5853
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5334
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G61177
CA
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD2022-0071
NM
Other
Enumeration date
04/21/2006
Last updated
04/13/2022
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