Michelle Bardack Valid NPI
Individual provider · Family Medicine Physician · Albuquerque, NM
- NPI
- 1811093073
- Type
- Individual (Type 1)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- MD20060797 (NM)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-09-15
- Last updated
- 2017-03-22
Practice location
2400 Tucker Ave Ne
Albuquerque, NM 87131-0001
(505) 272-1734