Search › New Mexico › 367500000X
Jack Blaine, CRNA
NPI 1811999642 · on the registry since 2005 · sole proprietor
Practice
- Address
- 6709 Academy Rd Ne Ste A
Albuquerque, NM 87109 - Phone
- (505) 312-4712
- Organisation at this address
- National Hearing And Balance, Llc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 36
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 367500000X
367500000X
367500000X - Licence states on file
- AZ, TX, CA, NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-01-19
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