Individual
JOHN NICKELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RVT/RDMS
Contact information
Practice address
2474 INDIAN WELLS RD, ALAMOGORDO, NM 88310-3831
(505) 443-0339
Mailing address
PO BOX 247, ALAMOGORDO, NM 88311-0247
Taxonomy
Speciality
Code
Description
License number
State
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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