Organization
NEW MEXICO PLASTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHESTER Y SAKURA JR. MD (PHYSICIAN)
(505) 842-6868
Entity
Organization
Contact information
Practice address
1020 TIJERAS AVE NE STE 16, ALBUQUERQUE, NM 87106-4749
(505) 842-6868
(505) 842-9325
Mailing address
1020 TIJERAS AVE NE STE 16, ALBUQUERQUE, NM 87106-4749
(505) 842-6868
(505) 842-9325
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
77-251
NM
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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