Organization
BURBANOMENDOZA, LLC
Active
Other names
Sandia Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICIA BURBANO M.D. (MEMBER)
(409) 454-4466
Entity
Organization
Contact information
Practice address
3900 JUAN TABO BLVD NE, SUITE 4, ALBUQUERQUE, NM 87111-3984
(505) 298-1010
(505) 298-3939
Mailing address
3900 JUAN TABO BLVD NE, SUITE 4, ALBUQUERQUE, NM 87111-3984
(505) 298-1010
(505) 298-3939
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD2013-0964
NM
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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