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Individual

RICHARD T RADECKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3874 MASTHEAD NE, BLDG G, ALBUQUERQUE, NM 87109-4479
(505) 338-2077
(505) 338-1960
Mailing address
3874 MASTHEAD NE, BLDG G, ALBUQUERQUE, NM 87109-4479
(505) 338-2077
(505) 338-1960

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
94364
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00025532
NM
Enumeration date
05/03/2006
Last updated
12/07/2010
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