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Individual

DR. ERIC MASON WESTFRIED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
215 GOLD AVE SW, SUITE #202, ALBUQUERQUE, NM 87102-3300
(505) 242-4401
(505) 243-2776
Mailing address
215 GOLD AVE SW, SUITE #202, ALBUQUERQUE, NM 87102-3300
(505) 242-4401
(505) 243-2776

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1943
CO
103G00000X
Clinical Neuropsychologist
Primary
641
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
337229601
MEDICARE, PART B
NM
Enumeration date
04/22/2008
Last updated
04/22/2008
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