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Individual

MICHAEL A COQUIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5150 JOURNAL CENTER BLVD NE, ALBUQUERQUE, NM 87109
(505) 262-3212
(505) 262-3381
Mailing address
PO BOX 27829, ALBUQUERQUE, NM 87125
(505) 232-1920
(505) 727-9276

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20050856
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
51209080
NM
Enumeration date
07/12/2006
Last updated
10/11/2011
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