Individual
DR. ANITA M ROYBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1101 GOLF COURSE RD SE, SUITE 201, RIO RANCHO, NM 87124-4731
(505) 234-1612
(505) 234-1618
Mailing address
1101 GOLF COURSE RD SE, SUITE 201, RIO RANCHO, NM 87124-4731
(505) 234-1612
(505) 234-1618
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
84-110
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400343
PTAN INDIVIDUAL
NM
05
—
Q6735
—
NM
Enumeration date
12/13/2006
Last updated
10/02/2012
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