Individual
JACOB IMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2211 LOMAS BLVD NE, DEPARTMENT OF INTERNAL MEDICINE, ALBUQUERQUE, NM 87106-2719
(505) 272-2111
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2014-0534
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2011
Last updated
03/25/2025
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