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1184639643
DANIEL DERKSEN
ALBUQUERQUE, NM
NPI
1184639643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NM 86-28)
Enumeration Date
2006-07-30
Last Update Date
2012-06-15
Business Address
DANIEL DERKSEN MD
933 BRADBURY DR SE SUITE 2222
ALBUQUERQUE, NM 87106-4374
Phone number: 505-272-3120
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Mailing Address
DANIEL DERKSEN MD
2400 TUCKER NE MSC09 5040
ALBUQUERQUE, NM 87131-0001
Phone number: 505-272-1734
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