Individual
TONI MAJEL ROAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RT(R)(CT)
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
406 E GREEN AVE, GALLUP, NM 87301-6045
(505) 979-4406
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
RRT07200
NM
2471C3401X
Computed Tomography Radiologic Technologist
Primary
CT00490
NM
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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