| Tasker Hatch Rowan Llc | |
|
111 Coors Blvd Nw Ste E6 Albuquerque NM 87121-2009 | |
| (505) 892-9010 | |
| (505) 899-4804 |
| Full Name | Tasker Hatch Rowan Llc |
|---|---|
| Speciality | Dentist |
| Location | 111 Coors Blvd Nw Ste E6, Albuquerque, New Mexico |
| Authorized Official Name and Position | Ebonie Gonzales (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5058503769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tasker Hatch Rowan Llc 325 S Higley #130 Gilbert AZ 85296 Ph: (505) 850-3769 | Tasker Hatch Rowan Llc 111 Coors Blvd Nw Ste E6 Albuquerque NM 87121-2009 Ph: (505) 892-9010 |
| NPI Number | 1750783502 |
|---|---|
| Provider Enumeration Date | 09/24/2014 |
| Last Update Date | 05/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750783502 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3168 (New Mexico) | Primary |
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