Individual provider · Type 1 NPI
Austin Lyn Moede, MD
Recovery Care Clinic/Center · Albuquerque, NM
NPI number
1467673657
Active
Practice location
1414 Narcisco St NE
Albuquerque, NM 87112-6536
Fax (505) 293-1969
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Recovery Care Clinic/Center Primary | 261QR0800X | 96-105 (NM) |
Recovery Care Clinic/Center: Definition to come...
About NPI 1467673657
Austin Lyn Moede, MD's National Provider Identifier is 1467673657, issued on May 2, 2007. The primary taxonomy on file is Recovery Care Clinic/Center (261QR0800X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 8, 2007.