Organization
ALBUQUERQUE VETERANS AFFAIRS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JACK EDWARDS DPM (RESIDENT)
(505) 265-1711
Entity
Organization
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
5909 SORIA AVE NW, ALBUQUERQUE, NM 87114-5876
Taxonomy
Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
06/13/2008
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