NPI 1063184794

Southwest Urology Specialists LLC

Organisation Urology Physician Albuquerque, NM

Practice location

Address: 4161 Montgomery Blvd NE, Albuquerque, NM 87109-6742
Phone: (607) 743-3714
Mailing address: 1380 Rio Rancho Dr SE # 349, Rio Rancho, NM 87124-1006

Authorised official

Name: Christopher Gist
Title: Owner/President
Phone: (607) 743-3714

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in New Mexico →

Registry record

NPI: 1063184794
Entity type: Organization
NPI issued: 30 Sep 2021
Record last updated: 27 Oct 2021

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.