Individual
ANNA Y VIGIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
201 CEDAR ST SE STE 5630, PMG CEDAR NEUROLOGY, ALBUQUERQUE, NM 87106-4920
(505) 563-8464
(505) 563-8464
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
90318
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30239
—
NM
Enumeration date
10/03/2006
Last updated
07/08/2007
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