Organization
NORTHSIDE FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET W ROYSON DO (OWNER)
(505) 823-1805
Entity
Organization
Contact information
Practice address
6100 PAN AMERICAN FREEWAY, NE, SUITE 390, ALBUQUERQUE, NM 87109-3401
(505) 823-1805
(505) 823-1844
Mailing address
6100 PAN AMERICAN FREEWAY, NE, SUITE 390, ALBUQUERQUE, NM 87109-3401
(505) 823-1805
(505) 823-1844
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A91890
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F8984
—
NM
Enumeration date
08/04/2006
Last updated
08/20/2014
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