Individual
CARL T WHALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3121 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-1654
(505) 228-2108
(505) 205-1514
Mailing address
3121 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-1654
(505) 916-6544
(505) 205-1514
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
DO2024-0096
NM
Other
Enumeration date
04/04/2020
Last updated
07/25/2024
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