MICHELLE BARDACK
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1811093073- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2400 TUCKER AVE NE, ALBUQUERQUE, NM, 871310001
- Phone
- (505) 272-1734
- Fax
- (505) 272-1736
Specialties & Taxonomies
Family Medicine
Primary License: NM #MD20060797