Organization
IPC HOSPITALISTS OF NEW MEXICO, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. R. JEFFREY TAYLOR (PRESIDENT & COO)
(818) 766-3502
Entity
Organization
Contact information
Practice address
8208 LOUISIANA BLVD NE, STE. C, ALBUQUERQUE, NM 87113-1757
(602) 789-0344
(602) 870-7566
Mailing address
8208 LOUISIANA BLVD NE, STE. C, ALBUQUERQUE, NM 87113-1757
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27573371
—
NM
01
—
889234086
BCBS
NM
Enumeration date
03/28/2012
Last updated
04/22/2016
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