Individual
AUSTIN O OETKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ANESTHESIA UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131
(505) 272-2734
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD2020-0677
NM
208D00000X
General Practice Physician
0101257869
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
05/07/2013
Last updated
10/05/2024
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