Individual
ERIK E CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
PMG RHEUMATOLOGY, 8300 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87110
(505) 291-2222
(505) 291-2440
Mailing address
PO BOX 92110, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87199-2110
(505) 301-5155
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
69-114
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4929
—
NM
Enumeration date
10/03/2006
Last updated
04/12/2016
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