MICHAEL GERARD LA BELLE

ALBUQUERQUE, NM
NPI1861568305
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NM  90-PA23)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: NM  90PA23)
Enumeration Date2006-11-27
Last Update Date2018-02-05
Business Address
Mr. MICHAEL GERARD LA BELLE Physician Assistant
40 GARDEN PARK CIR NW
ALBUQUERQUE, NM 87107-2669
Phone number: 505-385-4060
Mailing Address
Mr. MICHAEL GERARD LA BELLE Physician Assistant
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770