EPIPHANY DERMATOLOGY OF NEW MEXICO, LLC

ALBUQUERQUE, NM
NPI1447615760
Entity TypeOrganization
Authorized ContactGHEORGHE PUSTA
Manager
512-628-0465
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: NM  88-97)
Enumeration Date2015-12-31
Last Update Date2023-12-07
Business Address
EPIPHANY DERMATOLOGY OF NEW MEXICO, LLC
5600 EUBANK BLVD NE STE 110
ALBUQUERQUE, NM 87111-1519
Phone number: 512-628-0465
Mailing Address
EPIPHANY DERMATOLOGY OF NEW MEXICO, LLC
7300 RANCH RD. 2222, BLDG 1, STE 200
AUSTIN, TX 78730-3255
Phone number: 512-628-0465
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