Individual
CARLA EDYTHE EIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 DEPUTY DEAN MIERA DR SW, ALBUQUERQUE, NM 87151-0001
(505) 272-8950
Mailing address
100 DEPUTY DEAN MIERA DR SW, ALBUQUERQUE, NM 87151-1000
(505) 839-8700
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A118060
CA
2084P0800X
Psychiatry Physician
Primary
MD2006-0762
NM
Other
Enumeration date
02/06/2007
Last updated
08/05/2021
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