Organization
VIVA URGENT CARE & PRIMARY MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE UKANWA MD (MEDICAL DIRECTOR)
(505) 658-1392
Entity
Organization
Contact information
Practice address
8005 MARBLE AVE NE STE 1, ALBUQUERQUE, NM 87110-7901
(505) 433-4007
Mailing address
8005 MARBLE AVE NE STE 1, ALBUQUERQUE, NM 87110-7901
(505) 433-4007
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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