Organization
ST. CHRISTOPHER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER K TIERNAN M.D. (PRESIDENT)
(505) 821-1146
Entity
Organization
Contact information
Practice address
2800 SAN MATEO BLVD NE, SUITE 107, ALBUQUERQUE, NM 87110-3135
(505) 821-1146
(505) 843-9234
Mailing address
2800 SAN MATEO BLVD NE, SUITE 107, ALBUQUERQUE, NM 87110-3135
(505) 821-1146
(505) 843-9234
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
03079971006
NM
Other
Enumeration date
12/21/2006
Last updated
08/21/2010
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