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Individual

SAMUEL DOUGLAS MACBRIDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3001 BROADMOOR BLVD NE, RIO RANCHO, NM 87144-2100
(505) 994-7000
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
(505) 726-8740

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD2005-0662
NM
208M00000X
Hospitalist Physician
Primary
MD2005-0662
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036558
AZ
05
08107726
NM
05
11259361
CO
Enumeration date
09/20/2005
Last updated
10/18/2025
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