Organization
SALUBRIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARLA KOCH ND, DOM, RN (OWNER)
(505) 573-4325
Entity
Organization
Contact information
Practice address
3538 ANDERSON AVE SE, ALBUQUERQUE, NM 87106-1612
(505) 573-4325
Mailing address
3538 ANDERSON AVE SE, ALBUQUERQUE, NM 87106-1612
(505) 573-4325
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
867RX2
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588780548
INDIVIDUAL NPI
NM
Enumeration date
08/28/2014
Last updated
08/28/2014
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