Organization
PAMELA O BLACK MD, P.A., DBA QUADRA HEALTH INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA O BLACK M.D. (MD, P.A DBA QUADRA HEALTH INSTITUE)
(505) 923-4401
Entity
Organization
Contact information
Practice address
3820 COMMONS AVE NE # M, ALBUQUERQUE, NM 87109-5831
(505) 923-4401
Mailing address
PO BOX 25206, ALBUQUERQUE, NM 87125-0206
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2014-0059
NM
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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