NPI 1134192008

Rebecca H. Koontz, CPED

Practitioner Other Technician Albuquerque, NM

Practice location

Address: 5011 Montgomery Blvd NE, Albuquerque, NM 87109-1350
Phone: (505) 872-3668
Fax: (505) 888-7041
Mailing address: 6712 Christy Ave NE, Albuquerque, NM 87109-4000

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X Licence 10852 (NM)

Other Technician, Other providers in New Mexico →

Registry record

NPI: 1134192008
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Feb 2006
Record last updated: 31 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.