Individual
MATTHEW BORDEGARAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 DR MARTIN LUTHER KING JR AVE NE, LOVELACE MEDICAL CENTER, ALBUQUERQUE, NM 87102-3619
(505) 298-0301
(505) 554-3302
Mailing address
PO BOX 4934, ALBUQUERQUE, NM 87196-4934
(505) 298-0301
(505) 554-3302
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
ME121091
FL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD2016-0170
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2010
Last updated
07/26/2016
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