Individual
ALICE J. BAUMSTARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4253 MONTGOMERY BLVD NE, SUITE 110, ALBUQUERQUE, NM 87109-1598
(505) 881-6868
Mailing address
10810 SANTA MONICA DR NE, ALBUQUERQUE, NM 87122-3538
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NM2303
NM
Other
Enumeration date
12/01/2006
Last updated
10/03/2013
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