| Ahs Lovelace Medical Group, Llc | |
|
5406 Gibson Blvd Se Albuquerque NM 87108-4729 | |
| (505) 262-7777 | |
| (505) 262-7959 |
| Full Name | Ahs Lovelace Medical Group, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 5406 Gibson Blvd Se, Albuquerque, New Mexico |
| Authorized Official Name and Position | Stephen C Petrovich (SVP) |
| Authorized Official Contact | 6152963000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahs Lovelace Medical Group, Llc 1 Burton Hills Blvd Suite 250 Nashville TN 37215-6104 Ph: (615) 296-3000 | Ahs Lovelace Medical Group, Llc 5406 Gibson Blvd Se Albuquerque NM 87108-4729 Ph: (505) 262-7777 |
| NPI Number | 1639120603 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639120603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | APPLIED FOR (New Mexico) | Primary |
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