Individual
JUAN R BUSTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UNIVERSITY PSYCHIATRIC CTR, 2600 MARBLE NE, ALBUQUERQUE, NM 87131-0001
(505) 272-2800
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
96-207
NM
Other
Enumeration date
08/01/2006
Last updated
01/22/2025
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