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1851307433
EDWARD FANCOVIC
ALBUQUERQUE, NM
NPI
1851307433
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NM 98-50)
Enumeration Date
2006-08-01
Last Update Date
2024-01-04
Business Address
EDWARD FANCOVIC
7801 ACADEMY RD NE UNM FAMILY HEALTH CLINICS, NE HEIGHTS
ALBUQUERQUE, NM 87109-3379
Phone number: 505-272-2700
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Mailing Address
EDWARD FANCOVIC
933 BRADBURY DR SE SUITE 2222
ALBUQUERQUE, NM 87106-4374
Phone number: 505-272-3120
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