Individual
DR. HEATHER MIRANDA GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1217 1ST ST NW, ALBUQUERQUE, NM 87102-1529
(505) 766-5197
Mailing address
808 PARKLAND CIR SE, ALBUQUERQUE, NM 87108-3321
(505) 205-3581
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2015-0118
NM
Other
Enumeration date
03/31/2012
Last updated
09/20/2024
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