| James R Tryon M.d., Pc | |
|
4105 Montgomery Blvd Ne Albuquerque NM 87109-1102 | |
| (505) 737-9411 | |
| (505) 884-6845 |
| Full Name | James R Tryon M.d., Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4105 Montgomery Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Edmee Rodriguez (DR./OWNER) |
| Authorized Official Contact | 5053023048 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James R Tryon M.d., Pc 4105 Montgomery Blvd Ne Albuquerque NM 87109-1102 Ph: (505) 737-9411 | James R Tryon M.d., Pc 4105 Montgomery Blvd Ne Albuquerque NM 87109-1102 Ph: (505) 737-9411 |
| NPI Number | 1821270877 |
|---|---|
| Provider Enumeration Date | 12/02/2007 |
| Last Update Date | 02/20/2024 |
| Medicare PECOS PAC ID | 4981756285 |
|---|---|
| Medicare Enrollment ID | O20090717000202 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821270877 | NPI | - | NPPES |
| 35025247 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Edmee Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346260544 PECOS PAC ID: 5597751339 Enrollment ID: I20050603000364 |
| Provider Name | Cynthia L Arndell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780691725 PECOS PAC ID: 7416042866 Enrollment ID: I20071001000603 |
| Provider Name | Jonathan R Kevan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760534861 PECOS PAC ID: 5991985731 Enrollment ID: I20110210000556 |
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