Individual
IAN POWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 LOUISIANA BLVD NE STE 410, ALBUQUERQUE, NM 87110-5412
(505) 724-4300
(505) 338-0034
Mailing address
2300 E 30TH ST BLDG D-101, FARMINGTON, NM 87401-8991
(505) 327-1400
(505) 564-3202
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD2018-0254
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27958035
—
NM
Enumeration date
03/19/2012
Last updated
11/15/2021
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