Provider Demographics
NPI:1144605676
Name:UNIVERSITY OF NEW MEXICO
Entity Type:Organization
Organization Name:UNIVERSITY OF NEW MEXICO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIR FOR DEPARTMENT OF OB/GYN
Authorized Official - Prefix:DR
Authorized Official - First Name:EVE
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:505-272-6374
Mailing Address - Street 1:1 UNIVERSITY OF NEW MEXICO
Mailing Address - Street 2:MSC10 5580
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87131-0001
Mailing Address - Country:US
Mailing Address - Phone:505-272-0701
Mailing Address - Fax:505-272-1311
Practice Address - Street 1:1 UNIVERSITY OF NEW MEXICO
Practice Address - Street 2:MSC10 5580
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-0001
Practice Address - Country:US
Practice Address - Phone:505-272-0701
Practice Address - Fax:505-272-1311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QG0250XAmbulatory Health Care FacilitiesClinic/CenterGenetics