Basic Information
| Provider Information | |||||||||
| NPI: | 1457521718 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | MD URGENT CARE PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7920 CARMEL AVE NE | ||||||||
| Address2: | SUITE 1 | ||||||||
| City: | ALBUQUERQUE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 871222966 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5058284789 | ||||||||
| FaxNumber: | 5058284989 | ||||||||
| Practice Location | |||||||||
| Address1: | 7920 CARMEL AVE NE | ||||||||
| Address2: | SUITE 1 | ||||||||
| City: | ALBUQUERQUE | ||||||||
| State: | NM | ||||||||
| PostalCode: | 871222966 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5058284789 | ||||||||
| FaxNumber: | 5058284989 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/03/2008 | ||||||||
| LastUpdateDate: | 02/09/2011 | ||||||||
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| AuthorizedOfficialLastName: | WHITING | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | PARTNER | ||||||||
| AuthorizedOfficialTelephone: | 5058284789 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QU0200X | Y | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care |
No ID Information.