Individual
VESTA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 WALTER NE, STE 206, ALBUQUERQUE, NM 87102
(505) 727-2350
(505) 727-2355
Mailing address
500 WALTER ST NE STE 501, ALBUQUERQUE, NM 87102-2521
(505) 727-3170
(505) 727-3171
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
98330
NM
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
98330
NM
207RP1001X
Pulmonary Disease Physician
Primary
98330
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z2208
—
NM
Enumeration date
07/26/2006
Last updated
09/24/2019
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