Organization
OLD TOWN PRIMARY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA BAUMEISTER PA-C (OWNER)
(505) 431-2777
Entity
Organization
Contact information
Practice address
501 14TH ST NW, ALBUQUERQUE, NM 87104-1729
(505) 431-2777
Mailing address
501 14TH ST NW, ALBUQUERQUE, NM 87104-1729
(505) 431-2777
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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