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Individual

MRS. HEATHER D THOERNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2400 UNSER BLVD SE STE 8100, ALBUQUERQUE, NM 87124-3392
(505) 253-6100
(505) 253-6186
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 253-6100
(505) 253-6186

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
49976
MN
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD2023-1355
NM

Other

Enumeration date
02/20/2007
Last updated
07/16/2024
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