Individual
DR. IRWIN JOHN ISAACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4163 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-6742
(505) 554-4843
Mailing address
4163 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-6742
(505) 554-4843
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2000-52
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
374357
PRONET / AETNA
NM
05
—
515538
—
AZ
05
—
58322
—
NM
05
—
66352
—
NM
01
—
NM009R83
BLUE CROSS BLUE SHIELD
NM
Enumeration date
06/01/2005
Last updated
02/27/2017
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