Organization
ALBUQUERQUE FAMILY AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DEAN BAIR JR. D.O (PRESIDENT)
(505) 872-8727
Entity
Organization
Contact information
Practice address
101 HOSPITAL LOOP NE, SUITE 209, ALBUQUERQUE, NM 87109-2129
(505) 872-8727
(505) 872-8728
Mailing address
101 HOSPITAL LOOP NE, SUITE 209, ALBUQUERQUE, NM 87109-2129
(505) 872-8727
(505) 872-8728
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
A-710-80
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E1002
—
NM
Enumeration date
03/07/2007
Last updated
06/12/2008
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