Individual
MR. JEFF D ARCHULETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC/L
Contact information
Practice address
7801 WILSHIRE AVE NE, ALBUQUERQUE, NM 87122-2807
(505) 823-2327
Mailing address
8316 SANTA CLARITA ST NE, ALBUQUERQUE, NM 87113-2838
(505) 823-2327
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
358
NM
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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