Individual
MR. CLEVELAND HENDRICK PARDUE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
465 ST MICHAELS DRIVE, SUITE 202, SANTA FE, NM 87505
(505) 984-0303
(505) 984-1116
Mailing address
455 SAINT MICHAELS DR, PHYSICIAN PRACTICES/CENTRAL BILLING OFFICE, SANTA FE, NM 87505-7601
(505) 820-5227
(505) 820-5645
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
82101
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20404
—
NM
Enumeration date
09/22/2006
Last updated
10/24/2008
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