Organization
SPECIALTY CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN K JAIN (OWNER CEO)
(505) 350-3397
Entity
Organization
Contact information
Practice address
3825 EUBANK BLVD NE STE H, ALBUQUERQUE, NM 87111-3559
(505) 350-3397
(505) 323-7980
Mailing address
3825 EUBANK BLVD NE STE H, ALBUQUERQUE, NM 87111-3559
(505) 350-3397
(505) 323-7980
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
06/10/2024
Last updated
10/07/2024
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