Joanna Mae Souers, M.D.
Family Medicine in Albuquerque, NM. Individual provider (NPI-1).
NPI number1023403151
StatusActive
Last updated in NPPESJun 8, 2018
Details
- NPI
- 1023403151
- Entity type
- Individual (NPI-1)
- Name
- Joanna Mae Souers
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2015
- Last updated
- Jun 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD2017-0981 | NM | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | NM |
Practice location
Msc 09 50401 University Of New Mexico
Albuquerque, NM 87131
Phone 505-272-5885 · Fax 505-272-5888
Mailing address
933 Bradbury Dr Se Ste 2222Albuquerque, NM 87106-4375
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