Organization
SURGICAL ONCOLOGY AND GASTROINTESTINAL SURGERY CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENROY HEYWOOD MD (CEO)
(505) 362-3628
Entity
Organization
Contact information
Practice address
4901 LANG AVE NE, SUITE 202, ALBUQUERQUE, NM 87109-4495
(505) 227-9737
Mailing address
4901 LANG AVE NE, SUITE 202, ALBUQUERQUE, NM 87109-4495
(505) 227-9737
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2001-214
NM
Other
Enumeration date
10/04/2012
Last updated
11/19/2013
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