Provider Demographics
NPI:1497929269
Name:MCBRIDE, ERICA LEA (DO)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:LEA
Last Name:MCBRIDE
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:PO BOX 26666
Mailing Address - Street 2:PHS PROVIDER ENROLLMENT
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87125-6666
Mailing Address - Country:US
Mailing Address - Phone:505-923-6770
Mailing Address - Fax:505-923-5354
Practice Address - Street 1:201 CEDAR ST SE STE 306
Practice Address - Street 2:PMG CEDAR SURGERY GENERAL
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-4932
Practice Address - Country:US
Practice Address - Phone:505-563-1000
Practice Address - Fax:505-563-1011
Is Sole Proprietor?:No
Enumeration Date:2008-04-14
Last Update Date:2015-02-27
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Provider Licenses
StateLicense IDTaxonomies
NMA-1844-14208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery