Organization
SURGICAL ONCOLOGY AND GASTROINTESTINAL SURGERY CONSULTANTS, LLC
Active
Parent organization
SURGIVAL ONCOLOGY AND GASTROINTESTINAL SURGERY CONSULTANTS, LLC
Other names
Albuquerque Uptown Doctors HealthCare Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SURGIVAL ONCOLOGY AND GASTROINTESTINAL SURGERY CONSULTANTS, LLC
Authorized official
MONICA LIPIZ-VALLEJOS (CLINICAL ADMINISTRATIVE DIRECTOR)
(505) 200-3808
Entity
Organization
Contact information
Practice address
6100 UPTOWN BLVD NE, STE 600, ALBUQUERQUE, NM 87110-4163
(505) 200-3808
(505) 200-3807
Mailing address
6100 UPTOWN BLVD NE, STE 600, ALBUQUERQUE, NM 87110-4163
(505) 200-3808
(505) 200-3807
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
LD0825
NM
208600000X
Surgery Physician
Primary
2001214
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10626751
—
NM
Enumeration date
11/15/2016
Last updated
11/15/2016
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