Organization
HIGH COUNTRY MACULA RETINA AND VITREOUS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SCOTT SELIGSON M.D. (CEO)
(505) 982-5716
Entity
Organization
Contact information
Practice address
4343 PAN AMERICAN FWY NE STE 225, ALBUQUERQUE, NM 87107-6834
(505) 344-5400
(505) 344-5404
Mailing address
2055 S PACHECO ST STE 600, SANTA FE, NM 87505-3995
(505) 982-5716
(505) 982-5718
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD2004-0206
NM
Other
Enumeration date
08/16/2006
Last updated
08/09/2019
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