Organization
RIO GRANDE FNA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ROWE (MANAGER)
(505) 962-0577
Entity
Organization
Contact information
Practice address
2469 CORRALES RD, BLDG A, STE B, CORRALES, NM 87048
(505) 271-2416
Mailing address
1278 CAMINO HERMOSA, CORRALES, NM 87048-8653
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
10/21/2021
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