Organization
TRIBAL AUDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS ATKINSON (AUDIOLOGY PROGRAM MANAGER)
(505) 764-0036
Entity
Organization
Contact information
Practice address
5015 PROSPECT AVE NE, ALBUQUERQUE, NM 87110-4045
(505) 764-0036
(505) 764-0446
Mailing address
5015 PROSPECT AVE NE, ALBUQUERQUE, NM 87110-4045
(505) 764-0036
(505) 764-0446
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000K1576
—
NM
Enumeration date
08/07/2008
Last updated
08/07/2008
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