Healthcare Provider Details

I. General information

NPI: 1700767449
Provider Name (Legal Business Name): BRIAN THORSON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2025
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 JUAN TABO BLVD NE STE D
ALBUQUERQUE NM
87111-3979
US

IV. Provider business mailing address

4001 JUAN TABO BLVD NE STE D
ALBUQUERQUE NM
87111-3979
US

V. Phone/Fax

Practice location:
  • Phone: 505-633-7898
  • Fax: 505-355-1394
Mailing address:
  • Phone: 505-633-7898
  • Fax: 505-355-1394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: