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Individual

TRISH G MURA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
5400 GIBSON BLVD SE, ALBUQUERQUE, NM 87108-4729
(904) 805-1300
(904) 805-1302
Mailing address
PO BOX 676065, DALLAS, TX 75267-6065
(904) 805-1300
(904) 805-1302

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R24833
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A027
TRICARE
NM
05
Q6009
NM
Enumeration date
05/26/2006
Last updated
12/23/2010
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