Organization
SANDIA OBGYN ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL JOHN CONNORS D.O. (PRESIDENT)
(505) 727-3280
Entity
Organization
Contact information
Practice address
4705 MONTGOMERY BLVD NE, SUITE 105, ALBUQUERQUE, NM 87109-1226
(505) 727-3280
(505) 727-3282
Mailing address
4705 MONTGOMERY BLVD NE, SUITE 105, ALBUQUERQUE, NM 87109-1226
(505) 727-3280
(505) 727-3282
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
A913-90
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201001970
MOLINA HEALTHCARE
NM
05
—
F8452
—
NM
01
—
NM004926
BCBS -HMO OF NEW MEXICO
NM
Enumeration date
05/16/2007
Last updated
09/18/2008
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