Organization
FULL SPECTRUM GAHT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN MARY COLLERAN MD (CEO)
(505) 269-6938
Entity
Organization
Contact information
Practice address
1001 RICHMOND DR SE, ALBUQUERQUE, NM 87106-2336
(505) 269-6938
(505) 485-0729
Mailing address
1001 RICHMOND DR SE, ALBUQUERQUE, NM 87106-2336
(505) 269-6938
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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