Organization
GENESIS PHYSICIAN ASSOCIATES LLC
Active
Other names
Internal Medicine and Geriatric Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UCHE N OBISIKE MD (CEO)
(505) 801-7137
Entity
Organization
Contact information
Practice address
9201 MONTGOMERY BLVD NE STE 301, ALBUQUERQUE, NM 87111-2467
(505) 503-8714
(505) 503-8783
Mailing address
9516 ANDESITE DR NW, ALBUQUERQUE, NM 87114-3010
(505) 801-7137
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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