Organization
UNIVERSITY OF NEW MEXICO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP W WIEST (CHAIRMAN)
(505) 272-0011
Entity
Organization
Contact information
Practice address
DEPT OF RADIOLOGY MSC10 5530, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-0011
(505) 272-5821
Mailing address
1408 MANZANO ST NE, ALBUQUERQUE, NM 87110-5019
(505) 272-0011
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
MD2009-0062
NM
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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