| Old Town Primary Care, Inc. | |
|
501 14th St Nw Albuquerque NM 87104-1729 | |
| (505) 431-2777 | |
| Not Available |
| Full Name | Old Town Primary Care, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 501 14th St Nw, Albuquerque, New Mexico |
| Authorized Official Name and Position | Angela Baumeister (OWNER) |
| Authorized Official Contact | 5054312777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Town Primary Care, Inc. 501 14th St Nw Albuquerque NM 87104-1729 Ph: (505) 431-2777 | Old Town Primary Care, Inc. 501 14th St Nw Albuquerque NM 87104-1729 Ph: (505) 431-2777 |
| NPI Number | 1417591413 |
|---|---|
| Provider Enumeration Date | 11/01/2019 |
| Last Update Date | 11/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417591413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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