Shadow Mountain Llc.

Specialty details in registry · Albuquerque, NM

Call (505) 296-8184 Directions

At a glance

5400 Gibson Blvd. S. E, Albuquerque, NM 87109

NPPES record updated Oct 28, 2015. Public records can lag behind changes at a practice.

Before you call: a quick checklist

Are you accepting new patients?
Do you accept my specific insurance plan?
Do you provide the service I need at this address?
Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

5400 Gibson Blvd. S. E 3Rd Floor
Albuquerque, NM 87109

Professional details: NPI, taxonomy & registry record

NPI1760621007

Call Directions

Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 324500000X
Enumeration date: Feb 10, 2009
Record updated: Oct 28, 2015

More registry details

Provider type: Organization · Type 2
Other reported name: <UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

324500000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

5400 Gibson Blvd. S. E
3Rd Floor
Albuquerque, NM 87109

Phone: (505) 296-8184

Mailing address

5400 GIBSON BLVD. S.E
3RD FLOOR
ALBUQUERQUE, NM 87109

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

Report a directory issue