Organization · NPI-2

Accelerated Wellness & Aesthetics PC

Family Medicine · Albuquerque, NM

NPI number1659082121
StatusActive
Last updated in NPPESMay 9, 2023

Details

NPI
1659082121
Entity type
Organization (NPI-2)
Legal business name
Accelerated Wellness & Aesthetics PC
Organization subpart
No
Enumeration date
Dec 6, 2022
Certification date
May 9, 2023
Last updated
May 9, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

3901 Georgia St Ne
Albuquerque, NM 87110-1359

Phone 405-537-0052

Mailing address

3901 Georgia St Ne Ste E4
Albuquerque, NM 87110-1388

Phone 505-916-5128 · Fax 505-560-7399

Authorized official

Joseph Gill
President
5059165128

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