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Individual

DR. EDWARD POON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3860 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4479
(505) 828-1010
(505) 796-9051
Mailing address
3860 MASTHEAD ST NE, ALBUQUERQUE, NM 87109-4479
(505) 828-1010
(505) 796-9051

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
MD2016-0037
NM
208VP0014X
Interventional Pain Medicine Physician
Primary
MD2016-0037
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
57601062
NM
Enumeration date
06/13/2005
Last updated
07/21/2022
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