| David A Weichbrodt Llc | |
|
9412 Las Calabazillas Rd Ne Albuquerque NM 87111-2540 | |
| (505) 507-5796 | |
| (505) 349-4842 |
| Full Name | David A Weichbrodt Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9412 Las Calabazillas Rd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | David A Weichbrodt (OWNER) |
| Authorized Official Contact | 5055075796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David A Weichbrodt Llc 9412 Las Calabazillas Rd Ne Albuquerque NM 87111-2540 Ph: (505) 507-5796 | David A Weichbrodt Llc 9412 Las Calabazillas Rd Ne Albuquerque NM 87111-2540 Ph: (505) 507-5796 |
| NPI Number | 1851901243 |
|---|---|
| Provider Enumeration Date | 07/31/2020 |
| Last Update Date | 07/31/2020 |
| Certification Date | 07/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851901243 | NPI | - | NPPES |
| 95322736 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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