Individual provider · Type 1 NPI

Milton Icenogle, MD

Cardiovascular Disease Physician · Albuquerque, NM

NPI number 1083629547 Active

Practice location

5th Ambulatory Care Ctr, 2211 Lomas Blvd. NE
Albuquerque, NM 87131-0001

Call (505) 272-3840 Map

Mailing address

2211 Lomas Blvd NE, MSC10 5550
Albuquerque, NM 87131-0001

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000X83-228 (NM)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1083629547

Milton Icenogle, MD's National Provider Identifier is 1083629547, issued on Jul 30, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 8, 2007.