Organization
SOUTHWEST RETINA PC
Active
Organization
SOUTHWEST RETINA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA G HUAMAN MD (OWNER/PRESIDENT)
(505) 266-8200
Entity
Organization
Contact information
Practice address
8010 MOUNTAIN RD NE, STE 300, ALBUQUERQUE, NM 87110-7840
(505) 266-8200
(505) 256-7565
Mailing address
8100 WYOMING BLVD NE STE M4, PMB 293, ALBUQUERQUE, NM 87113-1963
(505) 266-8200
(505) 256-7565
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
90-213
NM
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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