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Contact Information

HENRY H MIDDLETON III, MD
8208 LOUISIANA BLVD NE
STE C
ALBUQUERQUE, NM87113-1757
 Phone: 505-858-1222
 Fax: 505-858-1224
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for HENRY H MIDDLETON III · (Male)

NPI Number 1063419547
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2005
Last updated 08/21/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 78-226
  • NM Medicaid 06064
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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