| Sandia Psychiatric Services Pc | |
|
2828 12th St Nw Albuquerque NM 87107-1122 | |
| (505) 345-4286 | |
| (505) 341-0318 |
| Full Name | Sandia Psychiatric Services Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2828 12th St Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Clarke A Brunton (PRESIDENT) |
| Authorized Official Contact | 5053454286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandia Psychiatric Services Pc 2828 12th St Nw Albuquerque NM 87107-1122 Ph: () - | Sandia Psychiatric Services Pc 2828 12th St Nw Albuquerque NM 87107-1122 Ph: (505) 345-4286 |
| NPI Number | 1558395475 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558395475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A116001 (New Mexico) | Primary |
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