Organization
NEW MEXICO SONOGRAPHICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA JETER (PRACTICE MANAGER)
(505) 875-1583
Entity
Organization
Contact information
Practice address
4600 A MONTGOMERY NE, STE 105, ALBUQUERQUE, NM 87109-1292
(505) 875-1583
(505) 830-2023
Mailing address
4600 A MONTGOMERY NE, STE 105, ALBUQUERQUE, NM 87109-1292
(505) 875-1583
(505) 830-2023
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
2471C3402X
Radiography Radiologic Technologist
—
—
2471S1302X
Sonography Radiologic Technologist
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43927858
—
NM
Enumeration date
11/08/2006
Last updated
08/26/2019
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