Individual
GREG FOTIEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 256-2727
Mailing address
12012 IRISH MIST RD NE, ALBUQUERQUE, NM 87122-3151
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
92222
NM
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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