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Individual

DR. ESTEBAN A HENAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
502 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 841-1000
(505) 843-2592
Mailing address
345 W STEAMBOAT DR, STE 601, DAKOTA DUNES, SD 57049-5287
(605) 217-5610
(605) 217-5533

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
12696
SD
2086S0129X
Vascular Surgery Physician
33756
NE
2086S0129X
Vascular Surgery Physician
MD2006-0041
NM
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MD2006-0041
NM

Other

Enumeration date
03/22/2006
Last updated
08/11/2021
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