NPI 1063639391

John M Wilson MD P C

Organisation Health Maintenance Organization Albuquerque, NM

Practice location

Address: 6100 Seagull St NE B-109, Albuquerque, NM 87109-2500
Phone: (505) 878-9000
Fax: (505) 878-8902

Authorised official

Name: John M Wilson
Title: Medical Doctor
Phone: (505) 878-9000

Registered specialties (2)

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 96-161 (NM)

Other Health Maintenance Organization providers in New Mexico →

Preferred Provider Organization

Managed Care Organizations Taxonomy 305R00000X Licence 96-161 (NM)

Other Preferred Provider Organization providers in New Mexico →

Registry record

NPI: 1063639391
Entity type: Organization
NPI issued: 19 Apr 2007
Record last updated: 11 Sep 2025

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.