Western Dermatology Consultants Pc

LBN: Western Dermatology Consultants Pc
Western Dermatology Consultants Pc is an health care organization with primary practice located at 10151 Montgomery Blvd Ne Bldg. 1 Ste. A, Albuquerque NM 87111-3670. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as the primary health care specialty. Western Dermatology Consultants Pc can be contacted via phone (505) 855-5503, or through Glass, Leslie via phone (505) 855-5503.

Contact Information

Primary practice address
10151 Montgomery Blvd Ne Bldg. 1 Ste. A Albuquerque NM 87111-3670
Phone: (505) 855-5503
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Glass, Leslie Doctor of Medicine (MD)
Phone: (505) 855-5503

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X New Mexico

Profile Details

NPI number 1174653299
LBN Legal business name Western Dermatology Consultants Pc
DBA Doing business as
Authorized official Glass, Leslie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Mar 6th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174653299 NPPES
New Mexico MEDICAID P6441

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