JAMES N ICKEN MD

EPIPHANY DERMATOLOGY OF NEW MEXICO, LLC

Dr JAMES N ICKEN MD is a male medical professional, specializing in Dermatology. He graduated in 1975.

Contact

EPIPHANY DERMATOLOGY OF NEW MEXICO, LLC

8316 KASEMAN CT NE
ALBUQUERQUE
NM
871107639

Tel: 5052925850

JAMES N ICKEN MD Information

Npi 1730156225
Pac Id 0941222459
Professional Enrollment Id I20060116000315
Last Name ICKEN
First Name JAMES
Middle Name N
Suffix
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 1975
Primary Specialty DERMATOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name EPIPHANY DERMATOLOGY OF NEW MEXICO, LLC
Group Practice Pac Id 4082919691
Number Of Group Practice Members 18
Line 1 Street Address 8316 KASEMAN CT NE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ALBUQUERQUE
State NM
Zip Code 871107639
Phone Number 5052925850
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
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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