Individual
DR. WILLIE L NUNEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 DR MARTIN LUTHER KING JR AVE NE, LOVELACE MEDICAL CENTER, ALBUQUERQUE, NM 87102-3619
(505) 298-0301
Mailing address
PO BOX 4934, ALBUQUERQUE, NM 87196-4934
(505) 298-0301
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD2012-230
NM
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD2012-0230
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31027083
—
NM
Enumeration date
05/05/2009
Last updated
06/06/2016
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