Individual
DR. MICHAEL L. PYLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3820 COMMONS AVE NE, ALBUQUERQUE, NM 87109-5831
(505) 933-7799
(509) 783-6655
Mailing address
8524 W GAGE BLVD, BLDG A1 BOX 319, KENNEWICK, WA 99336-8241
(509) 591-0070
(509) 396-9661
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
13018
ND
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD2015-0259
NM
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD20589
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050087352
RAILROAD MEDICARE
—
01
—
050922021
BLUE CROSS
OR
05
—
150129
—
OR
05
—
28838394
—
NM
01
—
97420A018
TRICARE
OR
01
—
C105025
PACIFIC SOURCE
OR
Enumeration date
05/30/2006
Last updated
02/05/2020
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