| Health Quest Wellness Cottonwood Llc | |
|
9664 Eagle Ranch Rd Nw Ste A-1 Albuquerque NM 87114-1578 | |
| (505) 890-9355 | |
| Not Available |
| Full Name | Health Quest Wellness Cottonwood Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 9664 Eagle Ranch Rd Nw Ste A-1, Albuquerque, New Mexico |
| Authorized Official Name and Position | Allen R Miner (PRESIDENT) |
| Authorized Official Contact | 5054334646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Quest Wellness Cottonwood Llc Po Box 92348 Albuquerque NM 87199-2348 Ph: (505) 890-9355 | Health Quest Wellness Cottonwood Llc 9664 Eagle Ranch Rd Nw Ste A-1 Albuquerque NM 87114-1578 Ph: (505) 890-9355 |
| NPI Number | 1033547302 |
|---|---|
| Provider Enumeration Date | 10/24/2013 |
| Last Update Date | 09/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033547302 | NPI | - | NPPES |
| 1730484627 | Other | NM | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2070 (New Mexico) | Primary |
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