OrganizationActive
Western Dermatology Consultants PC
NPI 1174653299 · MOHS-Micrographic Surgery Physician · Albuquerque, NM
Provider details
- NPI number
- 1174653299
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Leslie Glass, President(505) 855-5503
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
10151 Montgomery Blvd Ne
Bldg. 1 Ste. a
Albuquerque, NM 87111-3670
Phone: (505) 855-5503
Approximate (ZIP-level) locationGet directions
Mailing address
10151 Montgomery Ne Bldg. 1
Albuquerque, NM 87111
Registry dates
- Enumerated
- 2007-03-07
- Last updated
- 2008-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.