Individual
DR. CRYSTAL DAWN CARDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3001 BROADMOOR BLVD NE, RIO RANCHO, NM 87144-2100
(505) 994-7000
(304) 938-0572
Mailing address
3001 BROADMOOR BLVD NE, RIO RANCHO, NM 87144-2100
(505) 994-7000
(304) 938-0572
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12122
ND
207Q00000X
Family Medicine Physician
Primary
MD2012-0030
NM
208M00000X
Hospitalist Physician
65713
AZ
208M00000X
Hospitalist Physician
MD2012-0030
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
85222364
—
NM
Enumeration date
07/08/2008
Last updated
04/20/2026
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