NPI 1063096493

Michael McTernan

Practitioner Driver Albuquerque, NM

Practice location

Address: 11801 del Rey Ave NE, Albuquerque, NM 87122-2418
Phone: (505) 506-1284

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 12609 (NM)

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Registry record

NPI: 1063096493
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 May 2021
Record last updated: 11 May 2021

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.