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Organization
CARDIOVASCULAR AND ENDOVASCULAR SOLUTIONS, PC
Active
Organization
CARDIOVASCULAR AND ENDOVASCULAR SOLUTIONS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT RANDOLPH WATERFORD MD (PRESIDENT)
(505) 242-2325
Entity
Organization
Contact information
Practice address
500 WALTER ST NE, ALBUQUERQUE, NM 87102-2534
(505) 803-1087
(505) 892-6340
Mailing address
625 SILVER SE, SUITE 340, ALBUQUERQUE, NM 87102-3123
(505) 242-2325
(505) 242-2885
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD2006-0459
NM
Other
Enumeration date
11/21/2007
Last updated
07/24/2008
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