Individual
RANDALL HEIDENREICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
(505) 272-8060
Mailing address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
Taxonomy
Speciality
Code
Description
License number
State
207SG0202X
Clinical Biochemical Genetics Physician
Primary
MD2008-0162
NM
Other
Enumeration date
02/17/2006
Last updated
03/22/2017
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