Individual
DR. ELENA DARE BISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
8200 CENTRAL AVE SE, ALBUQUERQUE, NM 87108-2408
(505) 272-5885
(505) 272-6308
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD2012-0693
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
06/01/2010
Last updated
01/13/2025
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