Individual
DR. NEIL DOUGLAS PIVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6301 WILMINGTON NE, ALBUQUERQUE, NM 87111-6412
(505) 828-1455
Mailing address
PO BOX 21507, ALBUQUERQUE, NM 87154-1507
(505) 828-1455
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
81288
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19372
—
NM
Enumeration date
04/03/2006
Last updated
11/04/2011
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