Organization
HIGH COUNTRY MACULA RETINA AND VITREOUS PC
Active
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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