Organization
SOUTHWEST INTERNISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHYLLIS W. KNIGHT (BILLING MANAGER)
(505) 771-1089
Entity
Organization
Contact information
Practice address
700 HIGH ST NE, ALBUQUERQUE, NM 87102-2565
(505) 771-1089
(505) 771-2581
Mailing address
PO BOX 27608, ALBUQUERQUE, NM 87125-7608
(505) 771-1089
(505) 771-2581
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
89-268
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55379354
—
NM
01
—
NM007D80
BCBS GROUP#
NM
Enumeration date
03/02/2007
Last updated
05/15/2008
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