Beverly A Pucka is a Gynecology in Albuquerque, New Mexico. Beverly A Pucka practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Beverly A Pucka is 1881701191. The last update date is 2018-05-23.
Beverly A Pucka's current location address is 6320 Riverside Plaza Ln Nw Ste B, Albuquerque, New Mexico. You can contact this provider via phone number 5058436168 and fax number 5057921978. The mailing address for Beverly A Pucka is 6320 Riverside Plaza Ln Nw Ste B, Albuquerque, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beverly A Pucka |
|---|---|
| Address | 6320 Riverside Plaza Ln Nw Ste B, Albuquerque, New Mexico |
| Phone Number | 5058436168 |
| Fax Number | 5057921978 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1881701191 |
|---|---|
| Provider Enumeration Date | 2006-08-23 |
| Last Updated Date | 2018-05-23 |
Provider Mailing Address Detail
| Address | 6320 Riverside Plaza Ln Nw Ste B |
|---|---|
| City | Albuquerque |
| State | New Mexico (NM) |
| Post Code | 871201710 |
| Phone Number | 5058436168 |
| Fax Number | 5057921978 |
Provider's Primary Taxonomy Detail
| Speciality | Gynecology |
|---|---|
| Taxonomy | 207Vg0400X |
| Licence No | 86107 |
|
Definition: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 37325 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Beverly A Pucka by the Centers for Medicare & Medicaid Services?
The Beverly A Pucka has been issued the NPI (National Provider Identifier) 1881701191, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Beverly A Pucka is physically located?
The Beverly A Pucka is situated at the following address: 6320 Riverside Plaza Ln Nw Ste B, Albuquerque, NM 871201710.
What is the Beverly A Pucka's area of specialization and corresponding taxonomy classification?
The Beverly A Pucka's specialty field is Gynecology, and it falls under the taxonomy code 207Vg0400X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1881701191 to Beverly A Pucka?
The Centers for Medicare & Medicaid Services originally issued the 1881701191 to Beverly A Pucka on 2006-08-23.
When was the information regarding Beverly A Pucka, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Beverly A Pucka, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-05-23.
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