Individual
AMANDA L DELIGTISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MSC10 5620 1 UNIVERSITY OF NM, THE UNIVERSITY OF NEW MEXICO, DEPT OF NEUROLOGY, ALBUQUERQUE, NM 87131-0001
(505) 272-3160
(505) 272-9427
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD2006-0534
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74537547
—
NM
Enumeration date
11/03/2005
Last updated
02/12/2025
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