Individual
MR. RALPH JONATHAN KLOTZBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4808 MCMAHON BLVD NW, ALBUQUERQUE, NM 87114-5010
(505) 272-2900
Mailing address
4808 MCMAHON BLVD NW, ALBUQUERQUE, NM 87114-5010
(505) 272-2900
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
53674
NM
363LC1500X
Community Health Nurse Practitioner
F320081
NY
363LF0000X
Family Nurse Practitioner
Primary
R277320
MD
Other
Enumeration date
02/16/2011
Last updated
06/08/2026
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