Organization
MEDICAL ARTS DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD D. HARVILLE M.D. (PRESIDENT)
(505) 299-4414
Entity
Organization
Contact information
Practice address
801 ENCINO PL NE, STE E6, ALBUQUERQUE, NM 87102-2645
(505) 299-4414
(505) 299-4513
Mailing address
801 ENCINO PL NE, STE E6, ALBUQ, NM 87102-2645
(505) 299-4414
(505) 299-4513
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6534
NM
Other
Enumeration date
11/05/2007
Last updated
09/04/2014
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