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Contact Information

ELIZABETH MD FACIAL PLASTIC SURGERY LLC
4100 WOLCOTT AVE NE STE A
ALBUQUERQUE, NM87109-4572
 Phone: 505-855-5500
 Fax: 505-855-5501
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Facial Plastic Surgery

207YS0123X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for ELIZABETH MD FACIAL PLASTIC SURGERY LLC · (Female)

NPI # 1609653336
Status Active
Credentials
Entity Individual
Enumeration date 09/14/2023
Last updated 09/14/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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