Organization
MYO CARDIOVASCULAR CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARMIN FOGHI MD (MD)
(505) 892-0402
Entity
Organization
Contact information
Practice address
1790 GRANDE BLVD SE, RIO RANCHO, NM 87124-1726
(505) 892-0402
(505) 892-5544
Mailing address
1790 GRANDE BLVD SE, RIO RANCHO, NM 87124-1726
(505) 892-0402
(505) 892-5544
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD2005-0713
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61026751
—
NM
Enumeration date
09/30/2015
Last updated
09/30/2015
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