Organization
BOSQUE INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY CHRISTINA DEATON MD (PHYSICIAN)
(505) 490-1704
Entity
Organization
Contact information
Practice address
3301 LA MANCHA DR NW, ALBUQUERQUE, NM 87104-3029
(505) 490-1704
(505) 433-4485
Mailing address
3301 LA MANCHA DR NW, ALBUQUERQUE, NM 87104-3029
(505) 490-1704
(505) 433-4485
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/05/2017
Last updated
07/21/2022
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