Individual
JON LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2745
(505) 272-3864
(505) 272-1212
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
MD2008-0692
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
452001700
—
MD
Enumeration date
06/13/2006
Last updated
09/11/2024
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