Organization
AMIR H. MANOUTCHEHRI M.D. PC
Active
Other names
PineRidge-Urgent Care & Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
AMIR H MANOUTCHEHRI MD PC (PHYSICIAN/OWNER)
(505) 407-2174
Entity
Organization
Contact information
Practice address
12125 STATE HIGHWAY 14 N., CEDAR CREST, NM 87008
(505) 407-2174
(505) 407-2174
Mailing address
12125 STATE HIGHWAY 14 N., CEDAR CREST, NM 87008
(505) 407-2174
(505) 890-7944
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
87108
NM
261QP2300X
Primary Care Clinic/Center
87108
NM
261QU0200X
Urgent Care Clinic/Center
87-108
NM
261QU0200X
Urgent Care Clinic/Center
Primary
87108
NM
Other
Enumeration date
04/30/2009
Last updated
07/21/2014
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