Individual
SHANNON LISA TOCCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87131-5856
(505) 272-0010
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
MD2022-1444
NM
2085R0202X
Diagnostic Radiology Physician
MD2022-1444
NM
Other
Enumeration date
06/21/2010
Last updated
10/29/2024
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