Organization
NEUROINTENSIVISTS OF NEW MEXICO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID PATRICK MCCRANEY MD (MANAGING PARTNER)
(505) 750-0403
Entity
Organization
Contact information
Practice address
2425 SAN PEDRO DR NE, SUITE J, ALBUQUERQUE, NM 87110-4077
(505) 750-0403
(888) 505-3789
Mailing address
12231 ACADEMY RD NE, UNIT 301-268, ALBUQUERQUE, NM 87111-7236
(505) 750-0403
(888) 505-3789
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1133
NM
2084N0400X
Neurology Physician
Primary
MD2005-0833
NM
Other
Enumeration date
10/27/2009
Last updated
05/31/2013
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