Organization
OPHTHALMIC ANESTHESIA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA HEISCH (PRACTICE ADMINISTRATOR)
(505) 243-7754
Entity
Organization
Contact information
Practice address
11005 SPAIN RD NE STE 17, ALBUQUERQUE, NM 87111-1871
(505) 243-7729
(505) 243-4804
Mailing address
PO BOX 30585, ALBUQUERQUE, NM 87190-0585
(505) 243-7754
(505) 243-4804
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89174836
—
NM
Enumeration date
07/31/2006
Last updated
08/19/2022
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