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239 Elm St Ne Albuquerque NM 87102-3672 | |
| (505) 750-3680 | |
| Not Available |
| Full Name | Fast Forward |
|---|---|
| Speciality | General Practice |
| Location | 239 Elm St Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Mehdy Mirin (CEO/PRESIDENT) |
| Authorized Official Contact | 5057503680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fast Forward 4528 Agate Hills Rd Nw Albuquerque NM 87114-5379 Ph: (505) 750-3680 | Fast Forward 239 Elm St Ne Albuquerque NM 87102-3672 Ph: (505) 750-3680 |
| NPI Number | 1750807608 |
|---|---|
| Provider Enumeration Date | 08/22/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750807608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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