Individual
JACK CHIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
915 CAMINO DE SALUD NE, ALBUQUERQUE, NM 87106
(505) 272-2610
(505) 272-1300
Mailing address
UNM SCHOOL OF MEDICINE, MSC08 4720 1 UNM, ALBUQUERQUE, NM 87131-0001
(505) 272-2321
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OP61427421
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
03/25/2021
Last updated
11/12/2025
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