Individual
CHRISTOPHER R MIERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9101 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87111-2405
(505) 275-4288
(505) 275-4203
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028
(505) 262-3135
(505) 232-1627
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
88-53
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00005843
—
NM
01
—
328742YR41
MEDICARE PTAN
NM
Enumeration date
10/03/2006
Last updated
01/31/2019
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