Individual
RALPH PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1000
Mailing address
936 TAMBORA ST NW, ALBUQUERQUE, NM 87120-4177
(505) 321-5788
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN-71870
NM
2085R0204X
Vascular & Interventional Radiology Physician
Primary
RN-71870
NM
Other
Enumeration date
09/17/2021
Last updated
02/28/2022
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