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Individual

DR. SUSAN ANN SEEDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D., F.A.C.S., P.C.

Contact information

Practice address
1010 LAS LOMAS RD NE, SUITE #1, ALBUQUERQUE, NM 87102-2634
(505) 248-1518
(505) 248-1610
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(805) 923-6770
(505) 923-5354

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
83-108
NM
208600000X
Surgery Physician
Primary
83-108
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25508
PRESBYTERIAN
NM
05
26229
NM
01
NM010758
BC/BS OF NM
NM
Enumeration date
07/31/2006
Last updated
04/20/2017
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