Individual
REBECCA K FASTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
UNM DEPARTMENT OF EM MSC II, 1 UNIVERSITY OF NM, ALBUQUERQUE, NM 87131-0001
(505) 272-5062
(505) 272-6503
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
98-255
NM
207P00000X
Emergency Medicine Physician
L2245
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
98-255
NM
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
L2245
TX
Other
Enumeration date
03/23/2006
Last updated
02/15/2025
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