Individual
MR. LESLIE TAKACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA-C
Contact information
Practice address
2211 LOMAS BLVD NE, MSC 10 6000, ALBUQUERQUE, NM 87106-2719
(505) 272-2610
(505) 272-1300
Mailing address
3431 ANDERSON AVE SE, APT C, ALBUQUERQUE, NM 87106-2428
(907) 980-8830
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA2015-002
NM
367H00000X
Anesthesiologist Assistant
ANT.0000193
CO
Other
Enumeration date
06/24/2015
Last updated
01/09/2025
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