| Southwest Center For Integrative Medicine | |
|
1012 Eubank Blvd Ne Albuquerque NM 87112-5310 | |
| (505) 298-4325 | |
| (505) 294-5407 |
| Full Name | Southwest Center For Integrative Medicine |
|---|---|
| Speciality | General Practice |
| Location | 1012 Eubank Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Dominic Stape (C.E.O./ OWNER) |
| Authorized Official Contact | 5052984325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Center For Integrative Medicine 1012 Eubank Blvd Ne Albuquerque NM 87112-5310 Ph: (505) 298-4325 | Southwest Center For Integrative Medicine 1012 Eubank Blvd Ne Albuquerque NM 87112-5310 Ph: (505) 298-4325 |
| NPI Number | 1497026405 |
|---|---|
| Provider Enumeration Date | 01/23/2012 |
| Last Update Date | 05/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497026405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | BB7316436 (New Mexico) | Primary |
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