Organization
ABQ INJURY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH F WILSON D.C. (DOCTOR)
(505) 884-4365
Entity
Organization
Contact information
Practice address
5500 SAN MATEO BLVD NE, SUITE 102, ALBUQUERQUE, NM 87109-6299
(505) 884-4365
(505) 884-4265
Mailing address
5500 SAN MATEO BLVD NE, SUITE 102, ALBUQUERQUE, NM 87109-6299
(505) 884-4365
(505) 884-4265
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
454589532
BCBS
NM
Enumeration date
06/19/2013
Last updated
06/19/2013
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