MICHAEL CHAMPION

ALBUQUERQUE, NM
NPI1396839767
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NM  MD2005-0045)
Enumeration Date2006-10-03
Last Update Date2009-03-18
Business Address
MICHAEL CHAMPION MD
PMG KASEMAN BEHAVIORAL MEDICINE 1325 WYOMING NE
ALBUQUERQUE, NM 87112
Phone number: 505-291-5300
Mailing Address
MICHAEL CHAMPION MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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