NPI 1003657198

Calyx Dermatology LLC

Organisation MOHS-Micrographic Surgery Physician Albuquerque, NM

Practice location

Address: 612 Encino Pl NE, Albuquerque, NM 87102-2602
Phone: (240) 367-2980
Mailing address: 5863 Mafraq Ave NW, Albuquerque, NM 87114-6071

Authorised official

Name: Catherine Tchanque-Fossuo
Title: Dermatologist/Mohs Surgeon
Phone: (240) 367-2980

Registered specialties (2)

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X

Other Dermatology providers in New Mexico →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Registry record

NPI: 1003657198
Entity type: Organization
NPI issued: 4 Jun 2024
Record last updated: 25 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.