Organization
MEDICAL REHAB CENTER OF NEW MEXICO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEFANIE ROYCE (OFFICE TEAM LEAD)
(505) 338-2077
Entity
Organization
Contact information
Practice address
3874 MASTHEAD NE, BLDG G, ALBUQUERQUE, NM 87109-4479
(505) 338-2077
(505) 338-1960
Mailing address
3874 MASTHEAD NE, BLDG G, ALBUQUERQUE, NM 87109-4479
(505) 338-2077
(505) 338-1960
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
94364
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00025532
—
NM
Enumeration date
07/22/2006
Last updated
12/07/2010
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