Provider Demographics
NPI:1124232442
Name:JOEL S. SALAND, M.D., P.A.
Entity Type:Organization
Organization Name:JOEL S. SALAND, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:SALAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:505-299-8158
Mailing Address - Street 1:3717 ALTEZ ST NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-3325
Mailing Address - Country:US
Mailing Address - Phone:505-299-8158
Mailing Address - Fax:
Practice Address - Street 1:3717 ALTEZ ST NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-3325
Practice Address - Country:US
Practice Address - Phone:505-299-8158
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMNM 71-2042080H0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080H0002XAllopathic & Osteopathic PhysiciansPediatricsHospice and Palliative MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM24109Medicaid