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
Primary
53674
NM
363LC1500X
Community Health Nurse Practitioner
F320081
NY
Other
Enumeration date
02/16/2011
Last updated
01/13/2020
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