MILTON ICENOGLE

ALBUQUERQUE, NM
NPI1083629547
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine Cardiovascular Disease
(Licence: NM  83-228)
Enumeration Date2006-07-30
Last Update Date2007-07-08
Business Address
MILTON ICENOGLE MD
5TH AMBULATORY CARE CTR 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87131-0001
Phone number: 505-272-3840
Mailing Address
MILTON ICENOGLE MD
2211 LOMAS BLVD NE MSC10 5550
ALBUQUERQUE, NM 87131-0001
Phone number: 505-272-3840
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