NPI 1447615760

Epiphany Dermatology of New Mexico, LLC

Organisation Dermatology Physician Albuquerque, NM

Practice location

Address: 5600 Eubank Blvd NE STE 110, Albuquerque, NM 87111-1519
Phone: (512) 628-0465
Fax: (512) 628-0468
Mailing address: 7300 Ranch Rd. 2222, Bldg 1, STE 200, Austin, TX 78730-3255

Authorised official

Name: Gheorghe Pusta
Title: Manager
Phone: (512) 628-0465

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 88-97 (NM)

Other Dermatology providers in New Mexico →

Registry record

NPI: 1447615760
Entity type: Organization
NPI issued: 31 Dec 2015
Record last updated: 7 Dec 2023

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.