NPI 1174653299
Western Dermatology Consultants PC
Practice location
- Address
- 10151 Montgomery Blvd NE Bldg. 1 STE. a, Albuquerque, NM 87111-3670
- Phone
- (505) 855-5503
- Mailing address
- 10151 Montgomery NE Bldg. 1 STE. a, Albuquerque, NM 87111
Authorised official
- Name
- Leslie Glass
- Title
- President
- Phone
- (505) 855-5503
Registered specialties
MOHS-Micrographic Surgery Physician
Primary
Registry record
- NPI
- 1174653299
- Entity type
- Organization
- NPI issued
- 7 Mar 2007
- Record last updated
- 6 Mar 2008
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.