Organization
AIM HEALTHCARE PROVIDERS NM, LLC
Active
Other names
AIM Healthcare Providers NM LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY KARANIUK (CREDENTIALING DIRECTOR)
(480) 494-2465
Entity
Organization
Contact information
Practice address
3321 CANDELARIA RD NE STE 136, ALBUQUERQUE, NM 87107-1966
(480) 494-2465
Mailing address
161 E RIVULON BLVD STE 210, GILBERT, AZ 85297-0087
(480) 494-2465
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
12/09/2024
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