Epiphany Dermatology of New Mexico, LLC
Epiphany Dermatology of New Mexico, LLC provides Dermatology Physician services in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2015.
- Licensed in
- NM
- In the registry since
- 2015
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5600 Eubank Blvd NE Ste 110Albuquerque, NM 87111-1519
Phone: (512) 628-0465
Fax: (512) 628-0468
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 88-97 (NM) |
|---|
Record details
| NPI number | 1447615760 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gheorghe Pusta — Manager · (512) 628-0465 |
| NPI enumerated | December 31, 2015 |
| Last updated in NPPES | December 7, 2023 |
| Certification date | December 7, 2023 |
| Mailing address | 7300 Ranch Rd. 2222, Bldg 1, Ste 200, Austin, TX 78730-3255 |
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