NPI 1730470113 · live from the CMS NPI Registry
Evan D Baldwin, MD
Family Medicine, Addiction Medicine in Albuquerque, NM. National Provider Identifier 1730470113, active.
NPI record
| NPI | 1730470113 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Addiction Medicine 207QA0401X |
| Practice location | 1528 Five Points Rd Sw, Albuquerque, NM 87105 |
| Practice phone | 505-242-6919 |
| Mailing address | Po Box 50279, Albuquerque, NM 87181 |
| Enumerated | April 20, 2011 |
| Last updated | October 19, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Addiction Medicine primary | 207QA0401X | MD2013-0772 (NM) |
| General Practice | 208D00000X | MD2013-0772 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.