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Organization

INTERVENTIONAL PAIN SPECIALISTS OF NEW MEXICO, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES F. PACE M.D. (PRESIDENT)
(505) 898-1595
Entity
Organization

Contact information

Practice address
4824 MCMAHON BLVD NW, SUITE 119, ALBUQUERQUE, NM 87114-5412
(505) 898-1595
Mailing address
4824 MCMAHON BLVD NW, SUITE 119, ALBUQUERQUE, NM 87114-5412
(505) 898-1595

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
2000-259
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
61727369
NM
01
NM009L89
BLUE CROSS BLUE SHIELD
NM
Enumeration date
01/26/2007
Last updated
08/22/2020
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