Individual provider · Type 1 NPI
Alan Steven Brenner, MD
Facial Plastic Surgery Physician · Albuquerque, NM
NPI number
1063565075
Active
Practice location
201 Cedar St SE, Suite 4600
Albuquerque, NM 87106-4917
Fax (505) 563-6484
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | MD00016472 (WA) |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 8123 (SD) |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | MD2012-0882 (NM) |
| Facial Plastic Surgery Physician Primary | 207YS0123X | MD2012-0882 (NM) |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
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About NPI 1063565075
Alan Steven Brenner, MD's National Provider Identifier is 1063565075, issued on Jan 21, 2007. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Albuquerque, NM. The record was last updated on May 13, 2013.