Individual
YONATAN CARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MSC08 4640 REGINALD HEBER FITZ HALL, ROOM 335, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(773) 919-6846
Mailing address
MSC08 4640 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-4814
(505) 272-0240
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2020
Last updated
04/08/2021
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