Individual
DR. ANTONIO J. EPPOLITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2050 2ND ST SE, KIRTLAND AFB, NM 87117-5522
(505) 853-0140
Mailing address
2050 2ND ST SE, KIRTLAND AFB, NM 87117-5522
(505) 853-0140
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-061878-L
PA
Other
Enumeration date
12/23/2005
Last updated
06/24/2009
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