Individual
BRIAN NAIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6701 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4318
(505) 727-6200
(505) 727-9590
Mailing address
6701 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4318
(505) 727-6200
(505) 727-9590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2021-0790
NM
390200000X
Student in an Organized Health Care Education/Training Program
BP10065099
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528551991
NPI
NM
Enumeration date
06/11/2018
Last updated
07/27/2021
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