Organization
VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDIE SEGEARS, JR (STAFF KINESOTHERAPSIT)
(505) 265-1711
Entity
Organization
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
808 ORTIZ DR NE, ALBUQUERQUE, NM 87108-1443
(505) 266-3636
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
05/05/2006
Last updated
08/22/2020
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