Organization
NEW MEXICO OSTEOPOROSIS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STEPHANIE COSTALES (BILLING SPECIALIST)
(505) 888-0035
Entity
Organization
Contact information
Practice address
4300 SAN MATEO BLVD NE, SUITE A-140, ALBUQUERQUE, NM 87110-1229
(505) 888-0035
(505) 888-2002
Mailing address
4300 SAN MATEO BLVD NE, SUITE A-140, ALBUQUERQUE, NM 87110-1229
(505) 888-0035
(505) 888-2002
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
82161
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52526
—
NM
Enumeration date
11/03/2006
Last updated
10/23/2012
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