Pamela Barrett Dom LLC

Organization Active NPI Clinic/Center · Albuquerque, NM

NPI 1104131499 · NPPES record last updated Aug 11, 2010

Key facts

NPI
1104131499
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
License
1028 (NM)
Legal business name
PAMELA BARRETT DOM LLC
Practice address
408 General Stilwell St NE
Albuquerque, NM 87123-1028
Phone
(505) 850-8576
NPI assigned
Aug 11, 2010
Organization subpart
No

Authorized official

Name
Miss Pamela Sue Barrett, D.O.M.
Title
Owner
Phone
(505) 850-8576

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 1028 NM Yes

Addresses

Primary practice location

408 General Stilwell St NE
Albuquerque, NM 87123-1028

Mailing address

408 General Stilwell St NE
Albuquerque, NM 87123-1028
Phone (505) 850-8576

Other providers in Albuquerque, NM

All providers in Albuquerque, NM · Clinic/Center in New Mexico

Sources for this page

Verify at the official NPI Registry.