Individual
DR. JAMES MICHAEL PROBASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3901 ATRISCO NW, PRESBYTERIAN MEDICAL GROUP, ALBUQUERQUE, NM 87120
(505) 462-7575
Mailing address
7026 MOON GLOW CT NE, ALBUQUERQUE, NM 87111-7542
(505) 822-0605
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2003-0571
NM
Other
Enumeration date
04/19/2006
Last updated
10/31/2011
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