NPI 1518045657

New Mexico Plastic

Organisation Plastic Surgery Physician Albuquerque, NM

Practice location

Address: 1020 Tijeras Ave NE STE 16, Albuquerque, NM 87106-4749
Phone: (505) 842-6868
Fax: (505) 842-9325

Authorised official

Name: Chester Y Sakura
Title: Physician
Phone: (505) 842-6868

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 77-251 (NM)

Other Plastic Surgery providers in New Mexico →

Registry record

NPI: 1518045657
Entity type: Organization
NPI issued: 2 Nov 2006
Record last updated: 22 Aug 2020

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.