Individual
MR. ALFONSO ROBERT DENNIS BUSTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5800 EUBANK BLVD NE APT 3024, ALBUQUERQUE, NM 87111-6152
(505) 823-3423
Mailing address
5800 EUBANK BLVD NE APT 3024, ALBUQUERQUE, NM 87111-6152
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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