Organization
ALBUQUERQUE NEUROSCIENCE, INC.
Active
Organization
ALBUQUERQUE NEUROSCIENCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN MICHAEL DEMPSEY M.D. (PRESIDENT)
(505) 848-3773
Entity
Organization
Contact information
Practice address
101 HOSPITAL LOOP NE, SUITE 209, ALBUQUERQUE, NM 87109-2129
(505) 848-3773
(505) 848-3741
Mailing address
101 HOSPITAL LOOP NE, SUITE 209, ALBUQUERQUE, NM 87109-2129
(505) 848-3773
(505) 848-3741
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
69-126
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25924
—
NM
Enumeration date
02/05/2009
Last updated
02/05/2009
Update your record
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