Organization
SOUTHWEST HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BALDWIN PA (PRESIDENT)
(505) 242-9550
Entity
Organization
Contact information
Practice address
111 ISLETA BLVD SW, ALBUQUERQUE, NM 87105-3896
(505) 242-9550
(505) 247-8950
Mailing address
111 ISLETA BLVD SW, ALBUQUERQUE, NM 87105-3896
(505) 242-9550
(505) 247-8950
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2006-0033
NM
Other
Enumeration date
01/09/2007
Last updated
08/22/2020
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