Organization
VEIN CENTER OF NEW MEXICO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLE PELOSO (OWNER)
(505) 314-7061
Entity
Organization
Contact information
Practice address
801 ENCINO PL NE STE C12, ALBUQUERQUE, NM 87102-2618
(505) 247-4849
(505) 247-4850
Mailing address
801 ENCINO PL NE STE C12, ALBUQUERQUE, NM 87102-2618
(505) 247-4849
(505) 247-4850
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
08/22/2020
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