NPI 1164491072
Southwest Medical Associates, LLC
Practice location
- Address
- 6701 Jefferson St NE, Albuquerque, NM 87109-4318
- Phone
- (505) 727-6200
- Fax
- (505) 727-9590
- Mailing address
- 4101 Indian School Rd NE STE 110, Albuquerque, NM 87110-3991
Authorised official
- Name
- Stephen C Petrovich
- Title
- Evp General Counsel
- Phone
- (615) 296-3000
Registered specialties (3)
General Practice Physician
Primary
Family Medicine Physician
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1164491072
- Entity type
- Organization
- NPI issued
- 14 Mar 2006
- Record last updated
- 20 Jun 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.