Basic Information
Provider Information
NPI: 1669903233
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SESSUMS
FirstName: PRICE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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Mailing Information
Address1: MSC10 5600 1 UNIVERSITY OF NEW MEXICO
Address2:  
City: ALBUQUERQUE
State: NM
PostalCode: 871310001
CountryCode: US
TelephoneNumber: 5052722231
FaxNumber: 5052728098
Practice Location
Address1: MSC10 5600 1 UNIVERSITY OF NEW MEXICO
Address2:  
City: ALBUQUERQUE
State: NM
PostalCode: 871310001
CountryCode: US
TelephoneNumber: 5052722231
FaxNumber: 5052728098
Other Information
ProviderEnumerationDate: 03/24/2017
LastUpdateDate: 11/08/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/08/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XTRN24925FLN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
390200000X NMN Student, Health CareStudent in an Organized Health Care Education/Training Program 
207X00000XMD2022-1221NMY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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