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Organization

MIGUEL PUPIALES MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIGUEL PUPIALES MD (OWNER)
(505) 350-8331
Entity
Organization

Contact information

Practice address
4163 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-6742
(505) 344-7246
(505) 344-2666
Mailing address
PO BOX 16680, ALBUQUERQUE, NM 87191-6680
(505) 344-7246
(505) 344-2666

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
200-92
NM
208VP0014X
Interventional Pain Medicine Physician
Primary
2000-92
NM

Other

Enumeration date
05/09/2007
Last updated
10/16/2012
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