Provider Demographics
NPI:1013244995
Name:MEDICAL CONSULTING MEDIA, INC.
Entity type:Organization
Organization Name:MEDICAL CONSULTING MEDIA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:DEANE
Authorized Official - Last Name:DOTY
Authorized Official - Suffix:JR
Authorized Official - Credentials:CPO
Authorized Official - Phone:505-323-8187
Mailing Address - Street 1:908 POCO CERRO CT SE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87123-4193
Mailing Address - Country:US
Mailing Address - Phone:505-323-8187
Mailing Address - Fax:
Practice Address - Street 1:124 ALVARADO DR SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87108-2940
Practice Address - Country:US
Practice Address - Phone:505-266-1700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-12
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier