TYLER JUSTIN BOONSTRA

UNM HOSPITAL

Dr TYLER JUSTIN BOONSTRA is a male medical professional, specializing in Psychologist, Clinical. He graduated in 2017.

Contact

UNM HOSPITAL

2211 LOMAS BLVD NE
ALBUQUERQUE
NM
871062719

Tel: 5052722644

TYLER JUSTIN BOONSTRA Information

Npi 1528549953
Pac Id 1951654151
Professional Enrollment Id I20181105000732
Last Name BOONSTRA
First Name TYLER
Middle Name JUSTIN
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2017
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name UNM HOSPITAL
Group Practice Pac Id 7618889528
Number Of Group Practice Members 185
Line 1 Street Address 2211 LOMAS BLVD NE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ALBUQUERQUE
State NM
Zip Code 871062719
Phone Number 5052722644
Hospital Affiliation Ccn 1 320001
Hospital Affiliation Lbn 1 UNIVERSITY OF NEW MEXICO HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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