Individual
DR. PETER KING TIERNAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,MPH, LTC USAFR
Contact information
Practice address
7920 CARMEL AVE NE STE C, ALBUQUERQUE, NM 87122-2967
(505) 344-4959
Mailing address
7920 CARMEL AVE NE STE C, ALBUQUERQUE, NM 87122-2967
(505) 344-4959
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD2006-0119
NM
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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