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NPI Code Detail

MEDICARE: DUKE CITY URGENT CARE

MEDICARE: DUKE CITY URGENT CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/CenterMD2004-0796NM

General Provider Information

NPI Number : 1790185577
Entity Type Code : Organization
Provider Name (Legal Business Name) : DUKE CITY URGENT CARE
Provider Business Mailing Address
First Line : 11601 MONTGOMERY BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87111-2660
Country : US
Telephone Number : 505-207-3421
Fax Number : 505-702-8171
Provider Business Practice Location Address
First Line : 11601 MONTGOMERY BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87111-2660
Country : US
Telephone Number : 505-207-3421
Fax Number : 505-702-8171
Authorized Official
Title or Position : PRESIDENT
Name : DR. EDWARD H TALIAFERRO IV
Credential : M.D.
Telephone Number : 505-238-6757
Provider Enumeration Date : 08/28/2014
Last Update Date : 06/05/2024

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Directions to “DUKE CITY URGENT CARE ” Practice Location

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