Organization
AARON J. MAYBERRY, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AARON JAMES MAYBERRY M.D. (PRESIDENT)
(505) 888-3844
Entity
Organization
Contact information
Practice address
7115 PROSPECT PL NE, ALBUQUERQUE, NM 87110-4313
(505) 888-3844
(505) 503-8275
Mailing address
PO BOX 36420, ALBUQUERQUE, NM 87176-6420
(505) 888-3844
(505) 503-8275
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2001-71
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9553053
—
NM
Enumeration date
04/20/2010
Last updated
05/10/2012
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