Individual
WILLIAM EDWIN KUCHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2221 DIETZ PL NW, ALBUQUERQUE, NM 87107-3109
(505) 670-5295
Mailing address
2221 DIETZ PL NW, ALBUQUERQUE, NM 87107-3109
(505) 670-5295
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
93-309
NM
Other
Enumeration date
11/24/2009
Last updated
09/10/2015
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