NPI 1407171408

Sandia Plastic Surgery, PC

Organisation Plastic Surgery Physician Albuquerque, NM

Practice location

Address: 801 Encino Place NE Suite D7, Albuquerque, NM 87102
Phone: (505) 842-0066
Fax: (505) 842-9325

Authorised official

Name: Jennifer W.H. Chan
Title: Owner/Sole Member
Phone: (505) 842-0066

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence MD2007-0451 (NM)

Other Plastic Surgery providers in New Mexico →

Registry record

NPI: 1407171408
Entity type: Organization
NPI issued: 1 Apr 2010
Record last updated: 15 Apr 2015

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.