Individual
PETER K MIDDLEBROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
201 CEDAR ST SE SUITE 6600, ALBUQUERQUE, NM 87106
(505) 724-4300
(505) 724-4384
Mailing address
201 CEDAR ST SE SUITE 6600, ALBUQUERQUE, NM 87106
(505) 724-4300
(505) 724-4384
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1173508
TX
2251X0800X
Orthopedic Physical Therapist
Primary
2608
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T7931
BLUE CROSS BLUE SHIELD
TX
05
—
B8237
—
NM
Enumeration date
01/05/2006
Last updated
06/26/2013
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