| Doctor On Call 4, Llc | |
|
1010 Bridge Blvd Sw Suite B Albuquerque NM 87105-3765 | |
| (505) 873-4258 | |
| (505) 873-4260 |
| Full Name | Doctor On Call 4, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1010 Bridge Blvd Sw, Albuquerque, New Mexico |
| Authorized Official Name and Position | John R Vigil (PARTNER) |
| Authorized Official Contact | 5058734258 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctor On Call 4, Llc 10753 Prospect Ave Ne Suite B Albuquerque NM 87112-3272 Ph: (505) 873-4258 | Doctor On Call 4, Llc 1010 Bridge Blvd Sw Suite B Albuquerque NM 87105-3765 Ph: (505) 873-4258 |
| NPI Number | 1851603203 |
|---|---|
| Provider Enumeration Date | 07/13/2010 |
| Last Update Date | 07/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851603203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 95-318 (New Mexico) | Primary |
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