Organization
RONALD J ESCUDERO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD J ESCUDERO MD (PHYSICIAN)
(505) 855-5500
Entity
Organization
Contact information
Practice address
4100 WOLCOTT AVE NE STE A, ALBUQUERQUE, NM 87109-4572
(505) 855-5500
(505) 855-5501
Mailing address
4100 WOLCOTT AVE NE STE A, ALBUQUERQUE, NM 87109-4572
(505) 855-5500
(505) 855-5501
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
91-196
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42085
—
NM
Enumeration date
03/15/2007
Last updated
08/22/2020
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