Organization
LIFESTYLE MEDICINE LLC
Active
Other names
Bradley Kanode MD
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY KANODE (OFFICER)
(505) 425-2850
Entity
Organization
Contact information
Practice address
1301 8TH ST, LAS VEGAS, NM 87701-4221
(505) 425-2850
(505) 425-2847
Mailing address
1301 8TH ST, LAS VEGAS, NM 87701-4221
(505) 425-2850
(505) 425-2847
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2000216
NM
Other
Enumeration date
10/16/2007
Last updated
11/26/2007
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