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Contact Information

ALAN S BRENNER, MD
201 CEDAR ST SE
SUITE 4600
ALBUQUERQUE, NM87106-4917
 Phone: 505-563-6450
 Fax: 505-563-6484
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Facial Plastic Surgery

207YS0123X 04 Physician/Otolaryngology
 

Otolaryngology/Facial Plastic Surgery

207YX0905X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for ALAN S BRENNER · (Male)

NPI Number 1063565075
Status Active
Credentials MD
Entity Individual
Enumeration date 01/21/2007
Last updated 05/13/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NM License # MD2012-0882
  • SD License # 8123
  • WA License # MD00016472
  • SD Medicaid 6301580
  • WA Medicaid 1158609
  • WA Other G000100601 MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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