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Individual

DR. MATHEW THEODORE LEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3001 BROADMOOR BLVD NE, RIO RANCHO, NM 87144-2100
(505) 994-7000
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5738
WI
207R00000X
Internal Medicine Physician
MD2018-0199
NM
208M00000X
Hospitalist Physician
Primary
MD2018-0199
NM
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/14/2015
Last updated
06/18/2025
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