MILAGRO MEDICAL GROUP PC

ALBUQUERQUE, NM
NPI1548265713
Entity TypeOrganization
Authorized ContactDAVID A GONZALES
President Owner
505-577-8282
Organization Subpart ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: NM  PT0047621 FA0044101)
Enumeration Date2005-06-15
Last Update Date2010-09-07
Business Address
MILAGRO MEDICAL GROUP PC
504 ELM ST NE
ALBUQUERQUE, NM 87102-2512
Phone number: 505-724-2005
Mailing Address
MILAGRO MEDICAL GROUP PC
314 W HOUGHTON ST
SANTA FE, NM 87505-8849
Phone number: 505-577-8282