Individual
DR. JOHN DAVID CAREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12241 ACADEMY RD NE, SUITE 204, ALBUQUERQUE, NM 87111-8051
(505) 938-4214
(505) 944-7720
Mailing address
12241 ACADEMY RD NE, SUITE 204, ALBUQUERQUE, NM 87111-8051
(505) 938-4214
(505) 944-7720
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20020450
NM
207NS0135X
Procedural Dermatology Physician
20020450
NM
207ZD0900X
Dermatopathology (Pathology) Physician
MD2002-0450
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76659755
—
NM
01
—
NM009L30
BCBS
NM
01
—
P00177449
MC RR
—
Enumeration date
09/14/2005
Last updated
05/22/2014
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