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Contact Information

SANDIA PLASTIC SURGERY, PC
801 ENCINO PLACE NE
SUITE D7
ALBUQUERQUE, NM87102
 Phone: 505-842-0066
 Fax: 505-842-9325
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SANDIA PLASTIC SURGERY PC · (Female)

NPI Number 1407171408
Status Active
Credentials
Entity Individual
Enumeration date 04/01/2010
Last updated 04/15/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • NM License # MD2007-0451
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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