Organization
SPINE AND MUSCLE REABILATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEN ABOTT (CFO)
(505) 127-3473
Entity
Organization
Contact information
Practice address
10400 ACADEMY RD NE, STE 313, ALBUQUERQUE, NM 87111-1229
(505) 217-3473
Mailing address
10400 ACADAMY NE, STE 313, ALBUQUERQUE, NM 87111
(505) 217-3473
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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