Organization
ELMER J PACHECO MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELMER J PACHECO M.D. (OWNER)
(505) 697-9271
Entity
Organization
Contact information
Practice address
4801 MCMAHON BLVD NW, SUITE 235, ALBUQUERQUE, NM 87114-5090
(505) 922-1111
(505) 922-1115
Mailing address
4801 MCMAHON BLVD NW, SUITE 205, ALBUQUERQUE, NM 87114-5090
(505) 922-1111
(505) 922-1115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
95-318
NM
Other
Enumeration date
11/04/2010
Last updated
06/23/2011
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