Organization
UNM HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN GRACE MIKULEC PA (PHYSICIAN ASSISTANT)
(505) 272-2325
Entity
Organization
Contact information
Practice address
UNM HOSPITAL PEDIATRIC NEUROLOGY, 2211 LOMAS BLVD., 3RD FLOOR, ALBUQUERQUE, NM 87131-0001
(505) 272-2325
(505) 277-1363
Mailing address
2211 LOMAS BLVD., 3RD FLOOR, UNM HOSPITAL-PEDIATRIC NEUROLOGY, ALBUQUERQUE, NM 87131
(505) 272-2325
(505) 277-1363
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
PA2011-0042
NM
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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