Individual
MR. ALEXANDER CHILDS MISENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA (ASCP)
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1167
Mailing address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 841-1167
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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