Individual
CRAIG A JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 CENTRAL AVE SE, 4TH FLOOR HOSPITALISTS OFFICE, ALBUQUERQUE, NM 87106-4930
(505) 724-6145
(505) 724-6125
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
9958
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79942
—
NM
Enumeration date
10/03/2006
Last updated
12/29/2009
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