Healthcare Provider Details

I. General information

NPI: 1942372479
Provider Name (Legal Business Name): SOUTHWEST WOMEN'S ONCOLOGY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 09/26/2023
Certification Date: 09/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5700 HARPER DR NE STE 410
ALBUQUERQUE NM
87109-3585
US

IV. Provider business mailing address

5700 HARPER DR NE STE 410
ALBUQUERQUE NM
87109-3585
US

V. Phone/Fax

Practice location:
  • Phone: 505-843-7813
  • Fax: 505-843-6947
Mailing address:
  • Phone: 505-843-7813
  • Fax: 505-843-6947

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number StateNM

VIII. Authorized Official

Name: KAREN ANN FINKELSTEIN
Title or Position: PRESIDENT
Credential:
Phone: 505-843-7813