ALISA CLARK ILLESCAS

ALBUQUERQUE, NM
NPI1972131159
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: NM  MD2023-0490)
Enumeration Date2020-04-01
Last Update Date2024-07-31
Business Address
Dr. ALISA CLARK ILLESCAS MD
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106-4930
Phone number: 505-724-6124
Mailing Address
Dr. ALISA CLARK ILLESCAS MD
PO BOX 26666 PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
Similar providers in Albuquerque, NM
DAVID SCHADE
ANNE D BOSTWICK
SEEMA A MODI
JANET ELIZABETH NICHOLS
RICHARD RUBIN
NICHOLAS BENJAMIN HARRIS
NEAL E RAKOV
MARK LYNN UNRUH
CYNTHIA A VALDEZ
EMILY C DEATON