Organization · Type 2 NPI
Juan Tabo Family Medicine PC
Primary Care Clinic/Center · Albuquerque, NM
NPI number
1073825816
Active
Practice location
3309 Juan Tabo Blvd NE, Suite C
Albuquerque, NM 87111-5131
Fax (505) 508-2482
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | MD2007-0072 (NM) |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1073825816
Juan Tabo Family Medicine PC's National Provider Identifier is 1073825816, issued on Jul 9, 2010. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 9, 2010.