Individual
DR. MICHAEL THOMAS BESTAWROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
502 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 841-1000
(505) 843-2592
Mailing address
502 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 841-1000
(505) 843-2956
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD2014-0521
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2009
Last updated
07/28/2014
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