Organization
HEAD AND NECK SURGEONS OF NEW MEXICO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLYSON M RAY M.D. (MANAGER)
(505) 848-3124
Entity
Organization
Contact information
Practice address
1020 TIJERAS AVE NE, STE 22, ALBUQUERQUE, NM 87106-4749
(505) 848-3124
(505) 848-8077
Mailing address
1020 TIJERAS AVE NE, STE 22, ALBUQUERQUE, NM 87106-4749
(505) 848-3124
(505) 848-8077
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
97-130
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598933145
NATIONAL PROVIDER IDENTIF
NM
Enumeration date
02/18/2008
Last updated
04/14/2008
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