Healthcare Provider Details

I. General information

NPI: 1245140912
Provider Name (Legal Business Name): MR. JOHN FRANCIS SUEHR IV
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 EUBANK BLVD NE
ALBUQUERQUE NM
87112-5374
US

IV. Provider business mailing address

9719 CANDELARIA RD NE UNIT 14153
ALBUQUERQUE NM
87191-5008
US

V. Phone/Fax

Practice location:
  • Phone: 505-948-1811
  • Fax:
Mailing address:
  • Phone: 505-916-4700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: