Healthcare Provider Details

I. General information

NPI: 1033213467
Provider Name (Legal Business Name): ROBERT EDWARD CURTIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNM HSC LOCUM TENENS MSC08 4600, 1 UNIVERSITY OF NEW MEXICO
ALBUQUERQUE NM
87131-0001
US

IV. Provider business mailing address

UNM HSC LOCUM TENENS
ALBUQUERQUE NM
87131-0001
US

V. Phone/Fax

Practice location:
  • Phone: 505-272-0110
  • Fax: 505-272-2360
Mailing address:
  • Phone: 505-272-0110
  • Fax: 505-272-2360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20040785
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: