Search › New Mexico › 106S00000X
Joseph Illidge
NPI 1336804731 · on the registry since 2021 · sole proprietor
Practice
- Address
- 3405 Cheraz Rd Ne
Albuquerque, NM 87111 - Phone
- (703) 398-5019
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Sex
- Male
- Record last updated
- 2021-11-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico