THERESA MICHELLE GENOVESE ELLIOTT

SANTA FE, NM
NPI1801830179
Professional NameTHERESA MICHELLE GENOVESE ELLIOTT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
(Licence: NM  99-206)
Additional Taxonomies2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
(Licence: NM  99206)
Enumeration Date2006-06-16
Last Update Date2023-08-30
Business Address
Dr. THERESA MICHELLE GENOVESE ELLIOTT MD
4801 BECKNER RD LEVEL 1 POD 2 STE 1650
SANTA FE, NM 87507-0000
Phone number: 505-772-2000
Mailing Address
Dr. THERESA MICHELLE GENOVESE ELLIOTT MD
PO BOX 26666 PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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